| Evans Counseling And Consulting, Inc | |
|
2000 Park St Ste 102 Columbia SC 29201-2011 | |
| (803) 567-0064 | |
| (844) 910-1841 |
| Full Name | Evans Counseling And Consulting, Inc |
|---|---|
| Speciality | Counselor |
| Location | 2000 Park St Ste 102, Columbia, South Carolina |
| Authorized Official Name and Position | Tyanna Evans (FOUNDER/CEO) |
| Authorized Official Contact | 8039950405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Counseling And Consulting, Inc 2000 Park St Ste 102 Columbia SC 29201-2011 Ph: (803) 567-0064 | Evans Counseling And Consulting, Inc 2000 Park St Ste 102 Columbia SC 29201-2011 Ph: (803) 567-0064 |
| NPI Number | 1972216745 |
|---|---|
| Provider Enumeration Date | 12/26/2022 |
| Last Update Date | 12/26/2022 |
| Certification Date | 12/26/2022 |
| Medicare PECOS PAC ID | 8820460884 |
|---|---|
| Medicare Enrollment ID | O20230221001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972216745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Tyanna A Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265709273 PECOS PAC ID: 1951666890 Enrollment ID: I20180529000824 |
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