| Soda City Counseling, Llc | |
|
1817 Pickens St Columbia SC 29201-2630 | |
| (803) 393-9710 | |
| Not Available |
| Full Name | Soda City Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1817 Pickens St, Columbia, South Carolina |
| Authorized Official Name and Position | Madeline Moran (OWNER) |
| Authorized Official Contact | 9439970429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soda City Counseling, Llc 1817 Pickens St Columbia SC 29201-2630 Ph: () - | Soda City Counseling, Llc 1817 Pickens St Columbia SC 29201-2630 Ph: (803) 393-9710 |
| NPI Number | 1265252290 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265252290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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