Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colonial Family Practice, LLC

Organization Counselor · NPI 1336810175

Colonial Family Practice, LLC is a Counselor in Sumter, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

696 Bultman Dr
Sumter, SC 29150-2549
Phone: (803) 773-5227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1336810175
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Manager · (803) 773-5227
Other names Colonial Behavioral Health
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 3, 2021
Mailing address674 W Liberty St, Sumter, SC 29150-4882

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