Organization
MIDLANDS PSYCHIATRIC SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIE BRYAN MOZINGO M.D. (MANAGING PARTNER)
(803) 779-3548
Entity
Organization
Contact information
Practice address
125 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 779-3548
(803) 779-7055
Mailing address
125 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 779-3548
(803) 779-7055
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TP0016X
Prescribing (Medical) Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us