| Lay-up | |
|
5640 Teakwood Dr Dalzell SC 29040-9652 | |
| (803) 236-2313 | |
| Not Available |
| Full Name | Lay-up |
|---|---|
| Speciality | Counselor |
| Location | 5640 Teakwood Dr, Dalzell, South Carolina |
| Authorized Official Name and Position | Mark Shaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8032362313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lay-up 5640 Teakwood Dr Dalzell SC 29040-9652 Ph: (803) 236-2313 | Lay-up 5640 Teakwood Dr Dalzell SC 29040-9652 Ph: (803) 236-2313 |
| NPI Number | 1275033870 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275033870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Essential Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5640 Teakwood Dr, Dalzell, SC 29040 Phone: 803-236-1448 |