COLONIAL FAMILY PRACTICE, LLC

SUMTER, SC
NPI1336810175
Doing Business AsCOLONIAL BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactSTEPHANIE KNIGHT DISHER
Credentialing Manager
803-773-5227
Organization Subpart ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
COLONIAL FAMILY PRACTICE, LLC
696 BULTMAN DR.
SUMTER, SC 29150-2549
Phone number: 803-773-5227
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
674 W LIBERTY ST
SUMTER, SC 29150-4882
Phone number: 803-773-5227