| Evans Counseling And Consulting, Llc | |
|
2601 Read St Ste I-7 Columbia SC 29204-7861 | |
| (803) 567-0064 | |
| Not Available |
| Full Name | Evans Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2601 Read St Ste I-7, Columbia, South Carolina |
| Authorized Official Name and Position | Tyanna Evans (OWNER/PSYCHOTHERAPIST) |
| 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, Llc 137 Potters View Rd Blythewood SC 29016-7232 Ph: (803) 995-0405 | Evans Counseling And Consulting, Llc 2601 Read St Ste I-7 Columbia SC 29204-7861 Ph: (803) 567-0064 |
| NPI Number | 1710481452 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 9032474952 |
|---|---|
| Medicare Enrollment ID | O20180524001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710481452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11029 (South Carolina) | Primary |
| 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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