| Lifeway Counseling Llc | |
|
2575 Lin Do Ct Suite C Sumter SC 29150-1832 | |
| (803) 968-1138 | |
| (803) 905-5209 |
| Full Name | Lifeway Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2575 Lin Do Ct, Sumter, South Carolina |
| Authorized Official Name and Position | Constance Gina Smith (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8039681138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeway Counseling Llc 2575 Lin Do Ct Suite C Sumter SC 29150-1832 Ph: (803) 968-1138 | Lifeway Counseling Llc 2575 Lin Do Ct Suite C Sumter SC 29150-1832 Ph: (803) 968-1138 |
| NPI Number | 1770037855 |
|---|---|
| Provider Enumeration Date | 08/07/2016 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Medicare PECOS PAC ID | 2769899517 |
|---|---|
| Medicare Enrollment ID | O20210324000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770037855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5329 (South Carolina) | Primary |
| Provider Name | Gina W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639273980 PECOS PAC ID: 5395152144 Enrollment ID: I20210324000579 |
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