LEXINGTON RICHLAND ALCOHOL & DRUG ABUSE COUNCIL, INC. (NPI# 1538153069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538153069 |
Entity Type | Organization |
Organization Name | LEXINGTON RICHLAND ALCOHOL & DRUG ABUSE COUNCIL, INC. |
Other Organization Name | LRADAC |
Practice Address |
2711 Colonial Drive Columbia SC 29203 |
Mailing Address |
Po Box 50597 Columbia SC 29250-0597 |
Practice Telephone | 8037269301 |
Practice Fax Number | 8037269480 |
Mailing Telephone | 8037269301 |
Mailing Fax Number | 8037269480 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2019-05-15 |
Authorized Official Name | MS. LINDA G AYCOCK (PRESIDENT & CEO) |
Authorized Official Telephone | 8037269301 |
Authorized Official Credential | ESQ. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
Nursing Service Providers | ||
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | AD09LR | 05 |
Other Name | Type Code |
---|---|
LRADAC | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1068 S Lake Dr, Lexington, SC 290733720 | 8037269400 |
Street Address |
2711 COLONIAL DRIVE |
City | COLUMBIA |
State | SC |
Zip Code | 29203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851817720 | Allison Auld | Counselor | 2711 Colonial Drive, Columbia, SC 29203 | 2017-08-22 |
1770009987 | Jonathan Wright | Counselor | 2711 Colonial Drive, Columbia, SC 29203 | 2017-08-18 |
1053847210 | Amanda Day Polk | Social Worker | 2711 Colonial Drive, Columbia, SC 29203 | 2017-05-10 |
1992194658 | Keisha L. Perry | Social Worker | 2711 Colonial Drive, Lradac -, Columbia, SC 29203 | 2015-01-20 |
1528497088 | Ebony Cooper | Counselor | 2711 Colonial Drive, Columbia, SC 29203 | 2013-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
Find all providers in zip 29203 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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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.