ELIZABETH CORBETT, LLC (NPI# 1114322625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114322625 |
| Entity Type | Organization |
| Organization Name | ELIZABETH CORBETT, LLC |
| Practice Address |
1612 Marion St Suite 311 Columbia SC 29201-2939 |
| Mailing Address |
105 Lazy Acres Dr Columbia SC 29209-4255 |
| Practice Telephone | 8033617940 |
| Practice Fax Number | 8036954935 |
| Mailing Telephone | 8033617940 |
| Mailing Fax Number | 8036954934 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | MISS ELIZABETH ANN CORBETT (OWNER) |
| Authorized Official Telephone | 8033617940 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4991 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SW1153 | 05 |
| Street Address |
1612 MARION ST SUITE 311 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356377444 | Roy L Dunlap Jr. | Physical Therapist | 1612 Marion St, Suite 113, Columbia, SC 29201-2939 | 2006-06-23 |
| 1770028896 | The Young Men's Christian Association of Columbia, S.c. | Health Educator | 1612 Marion St, Columbia, SC 29201-2939 | 2016-12-28 |
| 1780127944 | Patricia Williamson | Social Worker | 1612 Marion St, Suite 206, Columbia, SC 29201-2939 | 2016-11-21 |
| 1952844110 | Bethany Christian Services of Sc | Social Worker | 1612 Marion St, Suite 206, Columbia, SC 29201-2939 | 2016-11-21 |
| 1598117152 | Emerge Essentials, LLC | Clinic/Center | 1612 Marion St, Suite 313, Columbia, SC 29201-2939 | 2016-07-07 |
| 1710340641 | Alternatives In Home Care, LLC | Case Management | 1612 Marion St, Suite 211, Columbia, SC 29201-2939 | 2016-03-29 |
| 1053781252 | Prosperity Resources and Consulting, LLC | Case Management | 1612 Marion St, Ste. 328a, Columbia, SC 29201-2939 | 2015-09-30 |
| 1922478148 | Prosperity Resources and Consulting, LLC | Case Management | 1612 Marion St, Ste. 328a, Columbia, SC 29201-2939 | 2015-09-30 |
| 1255700563 | Resilience Healthcare and One Direction Counceling | Case Management | 1612 Marion St, 328a, Columbia, SC 29201-2939 | 2015-09-16 |
| 1710356027 | Resilience Heathcare and One Direction Counceling | Case Management | 1612 Marion St, Ste. 328a, Columbia, SC 29201-2939 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403116 | Pieces 2 Peace Wellness Center, LLC | Community/Behavioral Health | 1105 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-10-01 |
| 1710507090 | Adahsa Counseling LLC | Community/Behavioral Health | 200 Eascott Pl, Columbia, SC 29229-5502 | 2020-04-16 |
| 1740809862 | Brsi Lp | Community/Behavioral Health | 8901 Farrow Rd, Columbia, SC 29203-8930 | 2020-04-09 |
| 1790324986 | Bransand | Community/Behavioral Health | 402 Nautique Cir, Columbia, SC 29229-7334 | 2020-01-05 |
| 1518513795 | Carolina Family Wellness Clinic, LLC | Community/Behavioral Health | 9153 Two Notch Rd Ste 6, Columbia, SC 29223-5852 | 2019-08-14 |
| 1073174033 | David Hill Consultants, LLC | Community/Behavioral Health | 1818 Pulaski St, Columbia, SC 29201-2381 | 2019-06-21 |
| 1760943005 | Goodecounsel, LLC. | Community/Behavioral Health | 235 Village Walk, Columbia, SC 29209-2166 | 2019-03-28 |
| 1932672961 | Sunshine Counseling Lc | Community/Behavioral Health | 302 Hampton Forest Dr, Columbia, SC 29209-2572 | 2019-01-02 |
| 1285125757 | Carolina Counseling Consultants | Community/Behavioral Health | 7356 Garners Ferry Rd Ste 112, Columbia, SC 29209-2146 | 2018-05-21 |
| 1114414125 | Teal Fire Counseling & Consulting, LLC | Community/Behavioral Health | 10632 Little Patuxent Pkwy Ste 343, Columbia, MD 21044-6239 | 2018-04-16 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.