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

Providence Physician Practices LLC

Organization Professional Counselor · NPI 1033577002

Providence Physician Practices LLC is a Professional Counselor in Columbia, South Carolina. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
10
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

2435 Forest Dr
Columbia, SC 29204-2026
Phone: (803) 256-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Professional Counselor Taxonomy 101YP2500X
Registered Dietitian Taxonomy 133V00000X
Family Medicine Physician Taxonomy 207Q00000X
Infectious Disease Physician Taxonomy 207RI0200X
Psychiatry Physician Taxonomy 2084P0800X
Urology Physician Taxonomy 208800000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1033577002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jess Judy — President · (615) 920-7000
Other names Hospital Professional Services
NPI enumeratedFebruary 5, 2016
Last updated in NPPESFebruary 22, 2017
Mailing address114 Gateway Corporate Blvd, Ste 425, Columbia, SC 29203-9740

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