| Organization Name: | THE CENTER FOR COUNSELING AND LIFE SKILL DEVELOPMENT |
| NPI Number: | 1265489793 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TARA WEST HORNE (PRESIDENT/CLINICAL DIRECTOR) |
| Mailing Address: | 1012 S Blackstock Rd Landrum |
| State: | SC US |
| Postal Code: | 293569136 |
| Phone Number: | 8644574208 |
| Fax Number: | 8644572866 |
| NPI Enumeration Date: | 05/29/2006 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC 3338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |