Provider Demographics
NPI:1780038562
Name:JAMISON CONSULTANT'S, LLC
Entity Type:Organization
Organization Name:JAMISON CONSULTANT'S, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:910-641-2966
Mailing Address - Street 1:115 BLARNEY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6291
Mailing Address - Country:US
Mailing Address - Phone:803-722-0490
Mailing Address - Fax:
Practice Address - Street 1:115 BLARNEY DR STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6291
Practice Address - Country:US
Practice Address - Phone:910-641-2966
Practice Address - Fax:843-962-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX1440Medicaid