| Organization Name: | PALMETTO BEHAVIORAL HEALTH SOLUTIONS, LLC |
| NPI Number: | 1104885516 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERIE TOLLEY (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 4500 Leeds Ave Ste 219 N Charleston |
| State: | SC US |
| Postal Code: | 294058520 |
| Phone Number: | 8432667096 |
| Fax Number: | 8437455142 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |