Organization Name: | RESILIENCE COMMUNITY SUPPORT SERVICES |
NPI Number: | 1427440320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE PORTER (CEO) |
Mailing Address: | 1612 Marion St. Suite 328a Columbia |
State: | SC US |
Postal Code: | 29201 |
Phone Number: | 7044976131 |
Fax Number: | 7043039793 |
NPI Enumeration Date: | 03/02/2015 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A10380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |