Midlands Psychiatric Service, Llc

LBN: Midlands Psychiatric Service, Llc
Midlands Psychiatric Service, Llc is an health care organization with primary practice located at 125 Alpine Cir , Columbia SC 29223-6385. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Midlands Psychiatric Service, Llc can be contacted via phone (803) 779-3548, or through Mozingo, Ellie Bryan via phone (803) 779-3548.

Contact Information

Primary practice address
125 Alpine Cir Columbia SC 29223-6385
Phone: (803) 779-3548
Fax: (803) 779-7055
Website:
Map and Directions
Authorized official contact:
Name: Mozingo, Ellie Bryan Doctor of Medicine (MD)
Phone: (803) 779-3548

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1679782205
LBN Legal business name Midlands Psychiatric Service, Llc
DBA Doing business as
Authorized official Mozingo, Ellie Bryan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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