Organization
COMMUNITY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLIARD REESE (CEO)
(704) 201-0974
Entity
Organization
Contact information
Practice address
7356 GARNERS FERRY RD STE 130, COLUMBIA, SC 29209-2146
(478) 284-8688
Mailing address
7356 GARNERS FERRY RD STE 130, COLUMBIA, SC 29209-2146
(478) 284-8688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
2005-00903
NC
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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