Ravenel Therapeutic Counseling, Llc | |
29 Gamecock Ave Ste 100 Charleston SC 29407-3366 | |
(843) 709-7707 | |
(843) 507-8739 |
Full Name | Ravenel Therapeutic Counseling, Llc |
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Speciality | Counselor |
Location | 29 Gamecock Ave Ste 100, Charleston, South Carolina |
Authorized Official Name and Position | Tiffany D Ravenel (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8437097707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ravenel Therapeutic Counseling, Llc 4179 Davison Rd Ravenel SC 29470-5307 Ph: (843) 408-3214 | Ravenel Therapeutic Counseling, Llc 29 Gamecock Ave Ste 100 Charleston SC 29407-3366 Ph: (843) 709-7707 |
NPI Number | 1225557440 |
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Provider Enumeration Date | 09/19/2017 |
Last Update Date | 09/19/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225557440 | NPI | - | NPPES |
PC1772 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 6482 (South Carolina) | Primary |
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