| Organization Name: | IRMO COUNSELING SERVICES |
| NPI Number: | 1174891394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELINDA SAUNDERS SOMERVILLE (CLINICAL COUNSELOR/OWNER) |
| Mailing Address: | 7434 Forest Court Irmo |
| State: | SC US |
| Postal Code: | 29063 |
| Phone Number: | 8034070088 |
| Fax Number: | 8034074457 |
| NPI Enumeration Date: | 12/02/2011 |
| NPI Last Update Date: | 12/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6494 |
| 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 |