Provider Demographics
NPI:1811669864
Name:HEALTH PSYCHOLOGY SOLUTIONS OF THE CAROLINAS
Entity type:Organization
Organization Name:HEALTH PSYCHOLOGY SOLUTIONS OF THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:HARBIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CBIS
Authorized Official - Phone:803-873-0773
Mailing Address - Street 1:2930 MCCORDS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29044-9379
Mailing Address - Country:US
Mailing Address - Phone:803-873-0773
Mailing Address - Fax:803-680-4005
Practice Address - Street 1:3710 LANDMARK DR STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4034
Practice Address - Country:US
Practice Address - Phone:803-708-9591
Practice Address - Fax:248-294-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health