Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Other names
G. Werber Bryan Psychiatric Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Authorized official
TRACY L TURNER (ASSISTANT DEPUTY DIRECTOR)
(803) 898-4594
Entity
Organization
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 898-8405
(803) 898-8526
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
(803) 898-8526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1044
—
SC
05
—
GP2590
—
SC
Enumeration date
05/09/2006
Last updated
09/12/2024
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