Organization Name: | COUNSELING SUMTER LLC |
NPI Number: | 1073987210 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLA PARTIN (OWNER/COUNSELOR) |
Mailing Address: | 528 Broad St Suite 202 Sumter |
State: | SC US |
Postal Code: | 291503368 |
Phone Number: | 8037209465 |
Fax Number: | 8035267067 |
NPI Enumeration Date: | 11/28/2015 |
NPI Last Update Date: | 11/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 9522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |