Psychiatry & Neurology, Psychiatry
COFA, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639384761 · enumerated 2007-05-11 · record updated 2008-01-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. KELVIN WILLIAMS, Executive Director · (843) 229-8504
Addresses and phones
- Practice location 106 E THOMAS ST, LAKE CITY, SC, 29560-2639 (843) 229-8504 Fax (843) 374-2632 Google Maps Apple Maps OpenStreetMap
- Mailing address 106 EAST THOMAS STREET, PO BOX 394, LAKE CITY, SC, 29560 Fax (866) 285-0122 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Clinical 103TC0700X · License 55 SC
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary · License 213469 SC
In this directory
SC Florence County Lake City Psychiatry & Neurology, Psychiatry
Locations and evidence
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Practice location
LAKE CITY, SC, 295602639
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.