Behavioral Counseling Of Sc | |
309 English Ivy Ct # 8801 Moore SC 29369-8801 | |
(864) 582-4080 | |
(864) 574-4066 |
Full Name | Behavioral Counseling Of Sc |
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Speciality | Social Worker - Clinical |
Location | 309 English Ivy Ct # 8801, Moore, South Carolina |
Authorized Official Name and Position | Steven Phillip Brown (PRESIDENT) |
Authorized Official Contact | 8645824080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Counseling Of Sc Po Box 6 Roebuck SC 29376-0006 Ph: (864) 582-4080 | Behavioral Counseling Of Sc 309 English Ivy Ct # 8801 Moore SC 29369-8801 Ph: (864) 582-4080 |
NPI Number | 1275745929 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 09/06/2014 |
Identifier | Type | State | Issuer |
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1275745929 | NPI | - | NPPES |
1275745929 | Other | SC | ORGANIZATIONAL TYPE II NPI |
1821091737 | Other | SC | TYPE I NPI # |
9626 | Other | SC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SC LIC #1904 (South Carolina) | Primary |
Jessica The Counselor, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 Gas Plant Rd, Moore, SC 29369 Phone: 602-354-1562 |