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NPI Code Detail

MEDICARE: ROZALIND JANELL SUMTER

MEDICARE: ROZALIND JANELL SUMTER
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
1101YM0800XMental Health Counselor

Other Identifiers

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

General Provider Information

NPI Number : 1780971705
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROZALIND JANELL SUMTER
Provider Business Mailing Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-775-9364
Fax Number : 803-774-2399
Provider Business Practice Location Address
First Line : 801 N PIKE W
Second Line :
City : SUMTER
State : SC
Zip : 29153-1906
Country : US
Telephone Number : 803-775-9364
Fax Number : 803-774-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2011
Last Update Date : 08/25/2025

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