All Star Counseling | |
1493 Trinity Church Rd Gray Court SC 29645-7800 | |
(201) 590-4242 | |
Not Available |
Full Name | All Star Counseling |
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Speciality | Community/behavioral Health |
Location | 1493 Trinity Church Rd, Gray Court, South Carolina |
Authorized Official Name and Position | Isiah Lacefield (CEO AND LPC) |
Authorized Official Contact | 2015904242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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All Star Counseling 1369 North Ave Apt 21 Elizabeth NJ 07208-2626 Ph: (864) 547-7222 | All Star Counseling 1493 Trinity Church Rd Gray Court SC 29645-7800 Ph: (201) 590-4242 |
NPI Number | 1730623406 |
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Provider Enumeration Date | 12/14/2016 |
Last Update Date | 02/01/2020 |
Certification Date | 02/01/2020 |
Identifier | Type | State | Issuer |
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1730623406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |