Healthcare Provider Details

I. General information

NPI: 1184926750
Provider Name (Legal Business Name): SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 FARROW RD
COLUMBIA SC
29203-3245
US

IV. Provider business mailing address

PO BOX 485
COLUMBIA SC
29202-9888
US

V. Phone/Fax

Practice location:
  • Phone: 803-935-5272
  • Fax:
Mailing address:
  • Phone: 803-898-8405
  • Fax: 803-898-8429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRACY L TURNER
Title or Position: ASST DEPUTY DIRECTOR, ADMIN
Credential:
Phone: 803-898-4594