| Trailside Counseling | |
|
6715 State Park Rd Travelers Rest SC 29690-1831 | |
| (864) 216-7010 | |
| Not Available |
| Full Name | Trailside Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6715 State Park Rd, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Courtney Eidson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8642167010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailside Counseling 164 Midwood Rd Travelers Rest SC 29690-1864 Ph: (864) 216-7010 | Trailside Counseling 6715 State Park Rd Travelers Rest SC 29690-1831 Ph: (864) 216-7010 |
| NPI Number | 1154047702 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154047702 | NPI | - | NPPES |
| 1467052530 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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