Organization Name: | COVENANT COUNSELING OF SOUTH CAROLINA |
NPI Number: | 1073732822 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAYE W, WHITTEMORE (DIRECTOR/THERAPIST) |
Mailing Address: | 1851 Dawson Branch Rd Summerville |
State: | SC US |
Postal Code: | 294835702 |
Phone Number: | 8438511806 |
Fax Number: | 8438217050 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |