Lydia Celestine Bailey-Padgett, EDUC. SPECIALIST

Individual provider Active NPI Professional Counselor · Columbia, SC

NPI 1124201413 · NPPES record last updated Oct 24, 2024

Key facts

NPI
1124201413
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4913 (SC)
Practice address
1333 Taylor St
Columbia, SC 29201-2923
Phone
(803) 351-8727
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
214724SCMDSchool Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 214724 SC
Professional Counselor 101YP2500X 4913 SC Yes

Addresses

Primary practice location

1333 Taylor St
Columbia, SC 29201-2923

Mailing address

PO Box 47
State Park, SC 29147-0047
Phone (803) 351-8727

Other providers in Columbia, SC

All providers in Columbia, SC · Professional Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.