South Carolina Department Of Juvenile Justice
Psychology Clinic
100 Executive Center Dr, Santee Building Suite210, Columbia
South Carolina, 29210-8407
803-896-4751 803-896-8473
Maps & DirectionsSouth Carolina Department Of Juvenile Justice is a Psychology Clinic in Columbia, South Carolina. It is located at 100 Executive Center Dr, Santee Building Suite210, Columbia, SC and its contact number is 803-896-4751. The authorized person for South Carolina Department Of Juvenile Justice is Ms. Mia L Richardson
who is Medicaid Project Administrator of the clinic and his/her contact number is 803-896-4751.
South Carolina Department Of Juvenile Justice Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
South Carolina Department Of Juvenile Justice Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | South Carolina Department Of Juvenile Justice |
| Specialization: | General Psychology |
| Clinic Address: | 100 Executive Center Dr, Santee Building Suite210, Columbia,
South Carolina, 29210-8407 |
| Phone: | 803-896-4751 |
| Fax: | 803-896-8473 |
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: | Ms. Mia L Richardson |
| Position: | Medicaid Project Administrator |
| Contact Number: | 803-896-4751 |
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 South Carolina Department Of Juvenile Justice clinic are as mentioned below.
| NPI Number: | 1528108073 |
| NPI Enumeration Date: | 07 Feb, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Carolina Department Of Juvenile Justice are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychologist | | | 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 |
| 969MXH | 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: | South Carolina Department Of Juvenile Justice
Po Box 21069,
Columbia, South Carolina |
| Zip: | 29221-1069 |
| Phone Number: | 803-896-4751 |
| Fax Number: | 803-896-8473 |
Patients can reach South Carolina Department Of Juvenile Justice at
100 Executive Center Dr, Santee Building Suite210, Columbia, South Carolina or can
call to book an appointment on 803-896-4751.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.