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COFA, LLC
NPI 1639384761
Psychiatry & Neurology - Psychiatry in Lake City, SC

Active since May 11, 2007
106 E THOMAS ST, LAKE CITY, SC 29560(843) 229-8504(843) 374-2632 Get Directions Write a Review

NPPES record last updated: January 17, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Cofa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFA, LLC (NPI 1639384761) is a healthcare organization registered as a psychiatry in Lake City, South Carolina and active in the NPI registry since May 2007. The organization lists Kelvin Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1639384761
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCOFA, LLC
Location Address106 E THOMAS STLake City, SC 29560-2639
Mailing Address106 East Thomas Street, Po Box 394Lake City, SC 29560 · Fax (866) 285-0122
Phone(843) 229-8504
Fax(843) 374-2632
Organization SubpartNo
Authorized OfficialKelvin WilliamsExecutive Director · (843) 229-8504
Enumeration DateMay 11, 2007
Last NPPES UpdateJanuary 17, 2008
✔ NPI 1639384761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SC · 213469
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 55 (SC)
106 E THOMAS ST, Lake City, SC 29560
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Other Identifiers 2

MedicaidGP3880SC
MedicaidGP4013SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.
Voluntary or Charitable
106 E THOMAS ST
LAKE CITY, SC 29560
Florence County (843) 229-8504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cofa, LLC's NPI number?

The NPI number for Cofa, LLC is 1639384761. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Cofa, LLC located?

Cofa, LLC is located at 106 E Thomas St, Lake City, SC 29560. The listed phone number is (843) 229-8504.

What is Cofa, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Cofa, LLC was last updated on January 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.