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List of Approved Providers for SCDDSN Waiver Psych Services

List of Approved Providers for SCDDSN Waiver Psych Services

List of Approved Providers for SCDDSN Waiver Psych Services

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Name Provider Medicaid # Address/Phone #<br />

Status<br />

<strong>Approved</strong> Areas <strong>of</strong> Competence/Expertise<br />

Page 4<br />

Michelle R. Evans<br />

<strong>Approved</strong><br />

Counseling <strong>Services</strong><br />

Greg Feeback<br />

<strong>Approved</strong><br />

Testing<br />

Gary W. Firmender<br />

<strong>Approved</strong><br />

Behavior Support<br />

WP8936<br />

Counties Served:<br />

Cherokee<br />

Fairfield<br />

Greenville<br />

Laurens<br />

Spartanburg<br />

Union<br />

WP8969<br />

Counties Served:<br />

Bamberg<br />

Barnwell<br />

Calhoun<br />

Fairfield<br />

Kershaw<br />

Lexington<br />

Richland<br />

Newberry<br />

Orangeburg<br />

WP9997<br />

Counties Served:<br />

Statewide<br />

145 North Church Street, Box 10<br />

Spartanburg SC 29306<br />

(864) 266-3393<br />

403 Dover Court<br />

Lexington SC 29072<br />

(803) 309-4763<br />

Developmental & Behavioral<br />

<strong>Services</strong>, Inc.<br />

P.O. Box 308<br />

Isle <strong>of</strong> Palms SC 29451 0308<br />

Debbie Gabriel<br />

<strong>Approved</strong><br />

Behavior Support<br />

WP8982<br />

Counties Served: Horry<br />

Clarendon<br />

Georgetown<br />

(843) 330-8180<br />

849 Wind Whisper Circle<br />

Murrells Inlet SC 29576<br />

(843) 283-2783<br />

Barvette Gaither<br />

<strong>Approved</strong><br />

Counseling <strong>Services</strong><br />

WP8940<br />

Counties Served: York<br />

1379 Pampas Circle<br />

Rock Hill SC 29732<br />

(803) 524-2432<br />

Tomika Gantt<br />

<strong>Approved</strong><br />

Counseling <strong>Services</strong> (Sexual Aggression)<br />

WP8951<br />

Counties Served:<br />

Chester<br />

CHESCO<br />

Lancaster<br />

York<br />

Gantt<br />

<strong>Psych</strong>otherapeutic/Consultation<br />

Svs<br />

1721 Ebenezer Dr. Ste 265<br />

Rock Hill SC 29732<br />

(704) 968-4893<br />

Dr. Han-Leong Goh<br />

<strong>Approved</strong><br />

Behavior Support<br />

WP9908<br />

Counties Served: Dillon<br />

Georgetown<br />

Horry<br />

Marion<br />

P.O. Box 1574<br />

Dillon SC 29536<br />

(352) 478-1223<br />

Note: Some providers may be approved in several areas and serve different counties.

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