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Colonial Family Practice, Llc
Child & Adolescent Psychiatry Physician in Sumter, South Carolina
NPI 1336810175

Colonial Family Practice, Llc is a Child & Adolescent Psychiatry Physician based in Sumter, SC and is specialized in Child & Adolescent Psychiatry. Colonial Family Practice, Llc practices in Sumter, SC. The NPI Number for Colonial Family Practice, Llc is 1336810175 and holds a License No. (South Carolina).

The current practice location address for Colonial Family Practice, Llc is 696 Bultman Dr., Sumter, SC and can be reached out via phone at 803-773-5227.

Location: 696 Bultman Dr., Sumter, SC, 29150-4882
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336810175
Provider Name
Colonial Family Practice, Llc
Credential
Provider Entity Type
Organization
Address
696 Bultman Dr., Sumter, SC, 29150-4882
Phone Number
803-773-5227
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
696 Bultman Dr.
City
Sumter
State
South Carolina
Zip
29150-2549
Phone Number
803-773-5227
Fax Number
person
Provider Business Mailing Address Details
Address
696 Bultman Dr.
City
Sumter
State
South Carolina
Zip
29150-2549
Phone Number
803-773-5227
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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