DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GOLDEN SHIELDS THERAPEUTIC & COMMUNITY SERVICES LLC

MEDICARE: GOLDEN SHIELDS THERAPEUTIC & COMMUNITY 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1902525041
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN SHIELDS THERAPEUTIC & COMMUNITY SERVICES LLC
Provider Business Mailing Address
First Line : 2625 RUTLEDGE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2520
Country : US
Telephone Number : 803-834-5033
Fax Number :
Provider Business Practice Location Address
First Line : 2625 RUTLEDGE ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2520
Country : US
Telephone Number : 803-834-5033
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOHNNIE C HARDY
Credential :
Telephone Number : 803-834-5033
Provider Enumeration Date : 08/23/2022
Last Update Date : 03/25/2023

Similar Medicare Providers

1336802255 — CLAIRE KRIETEMEYER
Practice Location Address:
2625 RUTLEDGE ST STE A
COLUMBIA, SC
29204-2520
Practice Phone: 803-380-8870
Practice Fax:
1538440607 — TRANSITIONS COUNSELING ASSOCIATES
Practice Location Address:
2625 RUTLEDGE ST
COLUMBIA, SC
29204-2520
Practice Phone: 803-748-0200
Practice Fax:
1841564994 — JANE W LAWTHER PH.D.
Practice Location Address:
2625 RUTLEDGE ST
COLUMBIA, SC
29204-2520
Practice Phone: 803-799-0144
Practice Fax:
1437405990 — MS. MARTHE J WILLIAMS MSW, LISW
Practice Location Address:
2625 RUTLEDGE ST
COLUMBIA, SC
29204-2520
Practice Phone: 893-799-0144
Practice Fax: 803-799-1136
1366984932 — DR. ANNA ELIZABETH FELICIANO PSY.D.
Practice Location Address:
2625 RUTLEDGE ST
COLUMBIA, SC
29204-2520
Practice Phone: 803-799-0144
Practice Fax:
1366130692 — GOLDEN SHIELDS THERAPEUTICS & COMMUNITY SERVICES
Practice Location Address:
2625 RUTLEDGE ST
COLUMBIA, SC
29204-2520
Practice Phone: 770-380-8994
Practice Fax: 803-834-4370

Directions to “GOLDEN SHIELDS THERAPEUTIC & COMMUNITY 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 © 2007-2025 (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.