| Blue Water Counseling, Llc | |
|
397 Blake St Spartanburg SC 29302-1572 | |
| (864) 253-9089 | |
| (864) 591-1232 |
| Full Name | Blue Water Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 397 Blake St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Timothy L Holland (MEMBER) |
| Authorized Official Contact | 8642539089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Water Counseling, Llc 397 Blake St Spartanburg SC 29302-1572 Ph: (864) 253-9089 | Blue Water Counseling, Llc 397 Blake St Spartanburg SC 29302-1572 Ph: (864) 253-9089 |
| NPI Number | 1174556815 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174556815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1818 (South Carolina) | Primary |
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