| Divine Intervention Counseling Services | |
|
3236 Landmark Drive Suite 124 North Charleston SC 29418 | |
| (843) 642-1492 | |
| (843) 225-9124 |
| Full Name | Divine Intervention Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3236 Landmark Drive, North Charleston, South Carolina |
| Authorized Official Name and Position | Raphael Patrick Ekong (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8436421492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Intervention Counseling Services 3236 Landmark Drive Suite 124 North Charleston SC 29418 Ph: (843) 642-1492 | Divine Intervention Counseling Services 3236 Landmark Drive Suite 124 North Charleston SC 29418 Ph: (843) 642-1492 |
| NPI Number | 1235431784 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235431784 | NPI | - | NPPES |
| PC1071 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5026 (South Carolina) | Primary |
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