| Envision Counseling Services, Llc | |
|
3211 Reidville Rd Ste C Spartanburg SC 29301-6120 | |
| (864) 278-0590 | |
| (864) 586-2300 |
| Full Name | Envision Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3211 Reidville Rd Ste C, Spartanburg, South Carolina |
| Authorized Official Name and Position | Judith Lynn Jankowski (OWNER) |
| Authorized Official Contact | 8643803470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Envision Counseling Services, Llc 3211 Reidville Rd Ste C Spartanburg SC 29301-6120 Ph: (864) 278-0590 | Envision Counseling Services, Llc 3211 Reidville Rd Ste C Spartanburg SC 29301-6120 Ph: (864) 278-0590 |
| NPI Number | 1669997185 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 08/29/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669997185 | NPI | - | NPPES |
| 1124421839 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6473 (South Carolina) | Primary |
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