OrganizationActive
Midlands Counseling & Consulting Center , LLC
NPI 1659529717 · Intellectual & Developmental Disabilities Psychologist · Columbia, SC
Provider details
- NPI number
- 1659529717
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jerome Prezzy, Director of Operations(803) 799-0144
- License
- WP9902 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2611 Forest Dr Ste 114a
Columbia, SC 29204-2372
Phone: (803) 799-0144
Fax: (803) 799-1136
Approximate (ZIP-level) locationGet directions
Mailing address
2611 Forest Dr Ste 114a
Columbia, SC 29204-2372
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2008-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.