| Boiling Springs First Baptist Church Counseling Service | |
|
3600 Boiling Springs Rd Boiling Springs SC 29316 | |
| (864) 578-2828 | |
| Not Available |
| Full Name | Boiling Springs First Baptist Church Counseling Service |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3600 Boiling Springs Rd, Boiling Springs, South Carolina |
| Authorized Official Name and Position | Kevin K Cooksey (DIRECTOR OF COUNSELING SERVICES) |
| Authorized Official Contact | 8645782828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boiling Springs First Baptist Church Counseling Service 3600 Boiling Springs Rd Boiling Springs SC 29316 Ph: (864) 578-2828 | Boiling Springs First Baptist Church Counseling Service 3600 Boiling Springs Rd Boiling Springs SC 29316 Ph: (864) 578-2828 |
| NPI Number | 1891254579 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 0749633394 |
|---|---|
| Medicare Enrollment ID | O20240130003120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891254579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Kevin K Cooksey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346677044 PECOS PAC ID: 1658724208 Enrollment ID: I20240130003224 |
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