Christy L Jordan-williams, | |
121 W Public Sq Ste B, Laurens, SC 29360-2972 | |
(864) 507-9149 | |
(864) 778-5592 |
Full Name | Christy L Jordan-williams |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 121 W Public Sq Ste B, Laurens, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336730621 | NPI | - | NPPES |
PC2938 | Medicaid | SC | |
SCV568R393 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8925 (South Carolina) | Primary |
Entity Name | Rise Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073362257 PECOS PAC ID: 5597291302 Enrollment ID: O20241203004539 |
Mailing Address | Practice Location Address |
---|---|
Christy L Jordan-williams, Po Box 292, Greenwood, SC 29648-0292 Ph: (864) 507-9149 | Christy L Jordan-williams, 121 W Public Sq Ste B, Laurens, SC 29360-2972 Ph: (864) 507-9149 |
Mrs. Tabitha Speaks, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 W Public Sq Ste D, Laurens, SC 29360 Phone: 864-871-9840 Fax: 864-715-1580 | |
Kaitlin Reid Sherfield, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Public Sq Ste B, Laurens, SC 29360 Phone: 864-684-4559 | |
Dr. Shebby Ananie Neely-goodwin, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 346 Fort Lindley Rd, Laurens, SC 29360 Phone: 803-412-2823 | |
Shenika T Boozer, M.S Counselor Medicare: Medicare Enrolled Practice Location: 603 Green St, Laurens, SC 29360 Phone: 864-202-1916 | |
Ms. Phyllis R Cox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Henderson Ln, Laurens, SC 29360 Phone: 864-683-8240 Fax: 864-362-8003 | |
Tori Wiseman, MS, CRC, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 644 N Harper St, Laurens, SC 29360 Phone: 864-681-3311 |