Organization
ROOTS PSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES STEELE PSY.D. (OWNER/LICENSED PSYCHOLOGIST)
(803) 764-1010
Entity
Organization
Contact information
Practice address
1531 LAUREL ST, COLUMBIA, SC 29201-2622
(803) 764-1010
(803) 764-0193
Mailing address
1531 LAUREL ST, COLUMBIA, SC 29201-2622
(803) 764-1010
(803) 764-0193
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1412
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327
—
SC
Enumeration date
10/02/2017
Last updated
06/29/2019
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