| Potential Counseling Service | |
|
8377 Huntington Ct Conway SC 29527-7989 | |
| (843) 283-4132 | |
| Not Available |
| Full Name | Potential Counseling Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8377 Huntington Ct, Conway, South Carolina |
| Authorized Official Name and Position | Elasha Lavone Leary (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8432834132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potential Counseling Service 8377 Huntington Ct Po Box 1376 Conway SC 29527-7989 Ph: (843) 283-4132 | Potential Counseling Service 8377 Huntington Ct Conway SC 29527-7989 Ph: (843) 283-4132 |
| NPI Number | 1952614653 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952614653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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