| Upstate Carolina Counseling Associates | |
|
405a E 1st Ave Easley SC 29640-3062 | |
| (864) 644-8251 | |
| (864) 644-8253 |
| Full Name | Upstate Carolina Counseling Associates |
|---|---|
| Speciality | Counselor - Professional |
| Location | 405a E 1st Ave, Easley, South Carolina |
| Authorized Official Name and Position | Stephen Edward Talley (OWNER) |
| Authorized Official Contact | 8646448251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Carolina Counseling Associates 405a E 1st Ave Easley SC 29640-3062 Ph: (864) 644-8251 | Upstate Carolina Counseling Associates 405a E 1st Ave Easley SC 29640-3062 Ph: (864) 644-8251 |
| NPI Number | 1033755194 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033755194 | NPI | - | NPPES |
| PC1435 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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