Provider Demographics
NPI:1598127805
Name:PRICE, BETSY MARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BETSY
Middle Name:MARIE
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 STONERIDGE DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8200
Mailing Address - Country:US
Mailing Address - Phone:803-779-5500
Mailing Address - Fax:803-779-8444
Practice Address - Street 1:140 STONERIDGE DR
Practice Address - Street 2:SUITE 350
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-8200
Practice Address - Country:US
Practice Address - Phone:803-779-5500
Practice Address - Fax:803-779-8444
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC88031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical