| Forest Acres Counseling Center Llc | |
|
5211 N Trenholm Rd Ste B Columbia SC 29206-4815 | |
| (803) 240-1990 | |
| Not Available |
| Full Name | Forest Acres Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 5211 N Trenholm Rd Ste B, Columbia, South Carolina |
| Authorized Official Name and Position | Carol Barnett (OWNER) |
| Authorized Official Contact | 8032401990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Acres Counseling Center Llc 1021 Autumn Cir Columbia SC 29206-4995 Ph: (803) 240-1990 | Forest Acres Counseling Center Llc 5211 N Trenholm Rd Ste B Columbia SC 29206-4815 Ph: (803) 240-1990 |
| NPI Number | 1598000333 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 05/03/2013 |
| Medicare PECOS PAC ID | 2365680683 |
|---|---|
| Medicare Enrollment ID | O20130529000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598000333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1141 (South Carolina) | Primary |
| Provider Name | Carol R Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639425051 PECOS PAC ID: 3274771597 Enrollment ID: I20130529000002 |
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