MEDICARE: AILEEN PAGAN WELCH

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	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427938299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AILEEN PAGAN WELCH

Provider Business Mailing Address
First Line	:	3139 SIDNEY RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4430
Country	:	US
Telephone Number	:	803-470-5456
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 SIDNEY RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4430
Country	:	US
Telephone Number	:	803-470-5456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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Directions to “ AILEEN PAGAN WELCH ” Practice Location

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