Organization Active NPI

Palmetto Pathways Behavioral Services LLC

  • Behavior Analyst
  • Lancaster, SC
National Provider Identifier
1255201471
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PALMETTO PATHWAYS BEHAVIORAL SERVICES LLC
Practice address
624 Sunset Cir
Lancaster, SC 29720-2984
Phone
(704) 999-3122
NPI assigned
Nov 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelby Colet LongNPI 1457818569
Title
Owner
Phone
(704) 999-3122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

624 Sunset Cir
Lancaster, SC 29720-2984

Mailing address

624 Sunset Cir
Lancaster, SC 29720-2984
Phone (704) 999-3122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1255201471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SUNSET CIR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202984",
            "telephone_number": "704-999-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SUNSET CIR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202984",
            "telephone_number": "704-999-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PATHWAYS BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "COLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-999-3122"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.