| Organization Name: | PALMETTO HEALTH |
| NPI Number: | 1023171592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM ECKERT (CORP DIRECTOR, PT FINANCIAL SVCS) |
| Mailing Address: | 499 Chestnut Ridge Rd The Pastoral Counseling Center Of Chestnut Ridge Laurens |
| State: | SC US |
| Postal Code: | 293606843 |
| Phone Number: | 8882937585 |
| Fax Number: | 8648599648 |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 04/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |