| Outspoken Counseling And Consulting Llc | |
|
9005 Two Notch Rd Suite 33 Columbia SC 29223-5850 | |
| (803) 386-9536 | |
| Not Available |
| Full Name | Outspoken Counseling And Consulting Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9005 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Carmen Jimenez (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9802752505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outspoken Counseling And Consulting Llc Po Box 8804 Columbia SC 29202-8804 Ph: (704) 222-2810 | Outspoken Counseling And Consulting Llc 9005 Two Notch Rd Suite 33 Columbia SC 29223-5850 Ph: (803) 386-9536 |
| NPI Number | 1063828333 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 04/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063828333 | NPI | - | NPPES |
| SW1128 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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