Providence Psychiatric Consults is a Forensic Psychiatry Clinic in Columbia, South Carolina. It is located at 114 Gateway Corporate Blvd, Suite 425, Columbia, SC and its contact number is 803-256-5300. The authorized person for Providence Psychiatric Consults is Mr. Jeremy W. Whitaker
who is Manager of the clinic and his/her contact number is 806-865-4798. The primary license number for Providence Psychiatric Consults is 19523 (Forensic Psychiatry) in South Carolina. Providence Psychiatric Consults Clinic focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Complete Clinic Profile:
Providence Psychiatric Consults Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Psychiatric Consults
Specialization:
Forensic Psychiatry
Clinic Address:
114 Gateway Corporate Blvd, Suite 425, Columbia, South Carolina, 29203-9740
Phone:
803-256-5300
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Jeremy W. Whitaker
Position:
Manager
Contact Number:
806-865-4798
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Psychiatric Consults clinic are as mentioned below.
NPI Number:
1639375199
NPI Enumeration Date:
22 Jun, 2007
NPI Last Update On:
29 Apr, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Psychiatric Consults are as mentioned below.
Specialization
License Number
State
Status
Forensic Psychiatry
19523
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GP4739
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Psychiatric Consults Po Box 60496, Charlotte, North Carolina
Zip:
28260-0496
Phone Number:
803-256-5300
Patients can reach Providence Psychiatric Consults at 114 Gateway Corporate Blvd, Suite 425, Columbia, South Carolina or can call to book an appointment on 803-256-5300. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.