MEDICARE: PALMETTO PATHWAYS BEHAVIORAL SERVICES 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1255201471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO PATHWAYS BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	624 SUNSET CIR
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-2984
Country	:	US
Telephone Number	:	704-999-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 SUNSET CIR
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-2984
Country	:	US
Telephone Number	:	704-999-3122
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHELBY COLET LONG
Credential	:
Telephone Number	:	704-999-3122

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	11/11/2025

Similar Medicare Providers

1548884521 — LEON ALEXANDRA GADDI REGISTERED NURSE
Practice Location Address:

1308 EAST CAMBRIDGE COURT
LANCASTER, CA
93535-2984

Practice Phone: 661-247-3017
Practice Fax:

1780750646 — WALGREEN CO
Practice Location Address:

1101 HIGHWAY 9 BYPASS W
LANCASTER, SC
29720-1710

Practice Phone: 803-289-1223
Practice Fax: 803-289-1224

1770415093 — SHINE NOW PSYCHIATRIC SERVICES
Practice Location Address:

1002 N WOODLAND DR STE B
LANCASTER, SC
29720-1966

Practice Phone: 803-866-3555
Practice Fax: 803-373-8917

1619800919 — CHRISTINE SCHACHTNER BSW
Practice Location Address:

114 S MAIN ST
LANCASTER, SC
29720-2442

Practice Phone: 803-286-6911
Practice Fax:

1811991664 — DR. ROBERT MALCOLM EDWARDS M.D.
Practice Location Address:

1240 COLONIAL COMMONS CT
LANCASTER, SC
29720-2200

Practice Phone: 803-285-4333
Practice Fax: 803-285-3472

1104820752 — COUNTY OF LANCASTER
Practice Location Address:

2006 PAGELAND HIGHWAY
LANCASTER, SC
29720

Practice Phone: 803-283-4134
Practice Fax: 803-283-2092

Directions to “PALMETTO PATHWAYS BEHAVIORAL SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.