| Executive Counseling Of Tega Cay, Llc | |
|
2012 Highway 160 W Fort Mill SC 29708-8401 | |
| (704) 388-2710 | |
| Not Available |
| Full Name | Executive Counseling Of Tega Cay, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2012 Highway 160 W, Fort Mill, South Carolina |
| Authorized Official Name and Position | Mildred Bennett Tillman (OWNER, CLINICAL DIRECTOR) |
| Authorized Official Contact | 7043882710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Counseling Of Tega Cay, Llc 3921 Caliper Pl Fort Mill SC 29708-8380 Ph: (704) 388-2710 | Executive Counseling Of Tega Cay, Llc 2012 Highway 160 W Fort Mill SC 29708-8401 Ph: (704) 388-2710 |
| NPI Number | 1386357994 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386357994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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