Jamison, Stephanie R
Jamison, Stephanie R is an sole proprietor health care provider with primary practice located at 115 Blarney Dr Ste 102 , Columbia SC 29223-6291. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jamison, Stephanie R can be contacted via phone (803) 722-0490.Contact Information
Primary practice address
115 Blarney Dr Ste 102
Columbia SC 29223-6291
Phone: (803) 722-0490
Fax: (843) 962-5803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | South Carolina |
Profile Details
| NPI number | 1053624262 |
|---|---|
| LBN Legal business name | Jamison, Stephanie R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2010 |
| Last updated | Jun 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053624262 | NPPES |
| South Carolina | MEDICAID | GPB5769 | |
| South Carolina | MEDICAID | GPB228 | |
| South Carolina | MEDICAID | GPB154 |
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