Roderick L Hollis, | |
125 E Robinson St, Gaffney, SC 29340-2444 | |
(864) 487-2710 | |
(864) 487-2729 |
Full Name | Roderick L Hollis |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 125 E Robinson St, Gaffney, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003977539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Charleston Counseling Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
Mailing Address | Practice Location Address |
---|---|
Roderick L Hollis, 250 Dewey Ave, Spartanburg, SC 29303-3009 Ph: (864) 585-0366 | Roderick L Hollis, 125 E Robinson St, Gaffney, SC 29340-2444 Ph: (864) 487-2710 |
Christina P Crosby, MSW, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Montgomery St, Gaffney, SC 29341 Phone: 864-487-2721 Fax: 864-487-2764 | |
Johnea Littlejohn, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Whittenburg Dr, Gaffney, SC 29340 Phone: 864-425-1473 | |
Haley Nicole Rains, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 W Meadow St, Gaffney, SC 29341 Phone: 864-597-9493 | |
Carol Lee Stammers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Robinson St, Gaffney, SC 29340 Phone: 864-487-2710 Fax: 864-487-2729 | |
Kristen Turney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3714 Union Hwy, Gaffney, SC 29340 Phone: 864-425-6069 | |
Mrs. Linda Geter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Robinson St, Gaffney, SC 29340 Phone: 864-487-2710 |