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

South Carolina Department of Juvenile Justice

Organization Psychologist · NPI 1528108073

South Carolina Department of Juvenile Justice is a Psychologist in Columbia, South Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

100 Executive Center Dr Santee Bldg SUITE210
Columbia, SC 29210-8407
Phone: (803) 896-4751
Fax: (803) 896-8473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1528108073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mia Richardson — Medicaid Project Administrator · (803) 896-4751
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 21069, Columbia, SC 29221-1069

Other providers in Columbia