Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
SC Dept of Mental Health Tele-Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA RATLIFF M.D. (MEDICAL DIRECTOR)
(803) 898-7183
Entity
Organization
Contact information
Practice address
2414 BULL ST, ATTN: TDE GRANT OF TELEPSYCHIATRY, COLUMBIA, SC 29201-1906
(803) 898-7183
(803) 898-8644
Mailing address
2414 BULL ST, ATTN: TDE GRANT OF TELEPSYCHIATRY, COLUMBIA, SC 29201-1906
(803) 898-7183
(803) 898-8644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
09/20/2019
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