Provider Demographics
NPI:1689067886
Name:HILLCREST BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:HILLCREST BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DR JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD CSC LPC
Authorized Official - Phone:803-406-5442
Mailing Address - Street 1:386 SAINT ANDREWS RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4427
Mailing Address - Country:US
Mailing Address - Phone:803-406-5442
Mailing Address - Fax:800-915-8615
Practice Address - Street 1:386 SAINT ANDREWS RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4427
Practice Address - Country:US
Practice Address - Phone:803-406-5442
Practice Address - Fax:800-915-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPC1420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty