Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
Lexington Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L TURNER (CONTOLLER)
(803) 898-8503
Entity
Organization
Contact information
Practice address
301 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7872
(803) 996-1500
(803) 359-2995
Mailing address
108 PALMETTO PARK BLVD, LEXINGTON, SC 29072-7968
(803) 996-1500
(803) 359-2995
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3000641104
WORKER'S COMP
SC
05
—
322842
—
SC
Enumeration date
10/25/2006
Last updated
08/02/2024
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