MEDICARE: PALMER COUNSELING AND CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker
3	106H00000X	Marriage & Family Therapist
4	163WP0808X	Psychiatric/Mental Health Registered Nurse
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
6	101YA0400X	Addiction (Substance Use Disorder) Counselor
7	101YP2500X	Professional Counselor
8	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1619493368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMER COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	200 SPRINGTREE DR STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-8614
Country	:	US
Telephone Number	:	803-722-4975
Fax Number	:	803-722-6018

Provider Business Practice Location Address
First Line	:	200 SPRINGTREE DR STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-8614
Country	:	US
Telephone Number	:	803-722-4975
Fax Number	:	803-722-6018

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. RASEL L. PALMER
Credential	:	LMFT
Telephone Number	:	803-722-4975

Provider Enumeration Date	:	08/15/2017
Last Update Date	:	01/13/2025

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