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

Potter's House Palmetto, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1205297967

Potter's House Palmetto, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Lincolnville, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 E Berry St
Lincolnville, SC 29485-7204
Phone: (843) 200-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1205297967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Spateholts — Chief Officer Rm & Compliance · (843) 200-4268
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016
Mailing address2414 Clement'S Ferry Rd., Charleston, SC 29429

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