My Purpose Counseling, Llc | |
1180 Columbia Ave Ste 101 Irmo SC 29063-2890 | |
(803) 274-1268 | |
Not Available |
Full Name | My Purpose Counseling, Llc |
---|---|
Speciality | Counselor |
Location | 1180 Columbia Ave Ste 101, Irmo, South Carolina |
Authorized Official Name and Position | Jamie F Rice (OWNER/THERAPIST) |
Authorized Official Contact | 8032741268 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
My Purpose Counseling, Llc 303 Misty Glen Cir Irmo SC 29063-8957 Ph: (803) 446-5972 | My Purpose Counseling, Llc 1180 Columbia Ave Ste 101 Irmo SC 29063-2890 Ph: (803) 274-1268 |
NPI Number | 1205534393 |
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Provider Enumeration Date | 02/20/2023 |
Last Update Date | 02/20/2023 |
Certification Date | 02/18/2023 |
Medicare PECOS PAC ID | 1355780966 |
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Medicare Enrollment ID | O20240416001389 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205534393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Jamie F Rice |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609005586 PECOS PAC ID: 2264871870 Enrollment ID: I20240416001500 |
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