| Shaping Lives Counseling Llc | |
|
800 Whitworth Cir Ste C Seneca SC 29672-9432 | |
| (864) 539-5170 | |
| (844) 612-1252 |
| Full Name | Shaping Lives Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 800 Whitworth Cir Ste C, Seneca, South Carolina |
| Authorized Official Name and Position | Holly Lee Partin (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8645395170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Lives Counseling Llc Po Box 946 Seneca SC 29679-0946 Ph: (864) 539-5170 | Shaping Lives Counseling Llc 800 Whitworth Cir Ste C Seneca SC 29672-9432 Ph: (864) 539-5170 |
| NPI Number | 1013488311 |
|---|---|
| Provider Enumeration Date | 12/12/2018 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013488311 | NPI | - | NPPES |
| PC1602 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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