Resolutions Counseling & Consulting | |
331 E Main St Rock Hill SC 29730-5383 | |
(803) 517-2122 | |
Not Available |
Full Name | Resolutions Counseling & Consulting |
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Speciality | Community/Behavioral Health |
Location | 331 E Main St, Rock Hill, South Carolina |
Authorized Official Name and Position | Lisa J Fowler (OWNER) |
Authorized Official Contact | 8035172122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Resolutions Counseling & Consulting Po Box 4443 Rock Hill SC 29732-6443 Ph: (803) 517-2122 | Resolutions Counseling & Consulting 331 E Main St Rock Hill SC 29730-5383 Ph: (803) 517-2122 |
NPI Number | 1710431150 |
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Provider Enumeration Date | 08/14/2016 |
Last Update Date | 11/04/2016 |
Medicare PECOS PAC ID | 1355629767 |
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Medicare Enrollment ID | O20161104000929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710431150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4886 (South Carolina) | Primary |
251S00000X | Community/behavioral Health | C004973 (North Carolina) | Secondary |
Provider Name | Lisa J Fowler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154377802 PECOS PAC ID: 6608020813 Enrollment ID: I20130215000223 |
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