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

Alexis Jacobs

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1003417585

Alexis Jacobs is a Mental Illness Community Based Residential Treatment Facility in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

100 Mondamin Rd
Columbia, SC 29210-8216
Phone: (803) 479-7696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X (SC)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1003417585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020

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