| Organization Name: | BETHANY COUNSELING CENTER, L.L.C. |
| NPI Number: | 1265569974 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON FITZGERALD WRIGHT (OWNER) |
| Mailing Address: | 114 N Johnson St Ofc 2 Gaffney |
| State: | SC US |
| Postal Code: | 293403156 |
| Phone Number: | 8644907099 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2014 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |