Healthcare Provider Details

I. General information

NPI: 1255648028
Provider Name (Legal Business Name): JAMISON CONSULTANT'S, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BLARNEY DR STE 102
COLUMBIA SC
29223-6291
US

IV. Provider business mailing address

115 BLARNEY DR STE 102
COLUMBIA SC
29223-6291
US

V. Phone/Fax

Practice location:
  • Phone: 803-722-0490
  • Fax: 888-508-9882
Mailing address:
  • Phone: 803-722-0490
  • Fax: 888-508-9882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE R JAMISON
Title or Position: CEO
Credential: PH.D.
Phone: 803-722-0490