| Carolina Counseling Professionals, Llc | |
|
123 Loblolly Pine Dr Seneca SC 29678 | |
| (864) 973-1359 | |
| Not Available |
| Full Name | Carolina Counseling Professionals, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 123 Loblolly Pine Dr, Seneca, South Carolina |
| Authorized Official Name and Position | Paulette Herbert (OWNER/THERAPIST) |
| Authorized Official Contact | 8649731359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Counseling Professionals, Llc 123 Loblolly Pine Dr Seneca SC 29678 Ph: (864) 973-1359 | Carolina Counseling Professionals, Llc 123 Loblolly Pine Dr Seneca SC 29678 Ph: (864) 973-1359 |
| NPI Number | 1548683303 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 1850603358 |
|---|---|
| Medicare Enrollment ID | O20150710001607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548683303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW.10528-CP (South Carolina) | Primary |
| Provider Name | Paulette N Herbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821413980 PECOS PAC ID: 8123334158 Enrollment ID: I20150904001400 |
| Provider Name | Misti Dawn Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134625809 PECOS PAC ID: 2062897622 Enrollment ID: I20220916003169 |
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