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NPI Code Detail

MEDICARE: PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC

MEDICARE: PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2RTF0040OTHERSCLICENSE

General Provider Information

NPI Number : 1306784913
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 2777 SPEISSEGGER DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29405-8229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2777 SPEISSEGGER DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29405-8229
Country : US
Telephone Number : 843-747-5830
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : STEVE FILTON
Credential :
Telephone Number : 610-768-3300
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/25/2026

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Directions to “PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC ” Practice Location

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