Provider Demographics
NPI:1861696700
Name:STEELE PSYCHIATRIC SERVICES, LLC
Entity type:Organization
Organization Name:STEELE PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:803-808-8451
Mailing Address - Street 1:120 FOX CHASE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7990
Mailing Address - Country:US
Mailing Address - Phone:803-808-8451
Mailing Address - Fax:
Practice Address - Street 1:160 MEDICAL CIRCLE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169
Practice Address - Country:US
Practice Address - Phone:803-796-6811
Practice Address - Fax:803-796-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC582296052001OtherPH RICHLAND BCBS GROUP
SC400186Medicaid
SC582296052001OtherPH RICHLAND BCBS GROUP