| Renaissance Therapy & Forensic Counseling Center | |
|
200 Ezell St Spartanburg SC 29306 | |
| (864) 573-5956 | |
| (864) 573-7353 |
| Full Name | Renaissance Therapy & Forensic Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 200 Ezell St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Cheryl Black Haman (OWNER) |
| Authorized Official Contact | 8645735956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Therapy & Forensic Counseling Center 200 Ezell St Spartanburg SC 29306 Ph: (864) 573-5956 | Renaissance Therapy & Forensic Counseling Center 200 Ezell St Spartanburg SC 29306 Ph: (864) 573-5956 |
| NPI Number | 1023041043 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023041043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4251 (South Carolina) | Primary |
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