| Counseling For Life, Inc. | |
|
125 Muddy Toes Dr Anderson SC 29626-5349 | |
| (864) 353-3384 | |
| Not Available |
| Full Name | Counseling For Life, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 125 Muddy Toes Dr, Anderson, South Carolina |
| Authorized Official Name and Position | Michaela J Tomberlin (OWNER) |
| Authorized Official Contact | 8643533384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling For Life, Inc. 4123 Old Portman Rd Anderson SC 29626-5346 Ph: (864) 353-3384 | Counseling For Life, Inc. 125 Muddy Toes Dr Anderson SC 29626-5349 Ph: (864) 353-3384 |
| NPI Number | 1588954994 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 8426490426 |
|---|---|
| Medicare Enrollment ID | O20240522001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588954994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5163 (South Carolina) | Primary |
| Provider Name | Michaela J Tomberlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881911097 PECOS PAC ID: 0840632857 Enrollment ID: I20240522002545 |
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