| All Star Counseling Llc | |
|
1493 Trinity Church Rd Gray Court SC 29645-7800 | |
| (201) 590-4242 | |
| Not Available |
| Full Name | All Star Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1493 Trinity Church Rd, Gray Court, South Carolina |
| Authorized Official Name and Position | Isiah Lacefield (CEO AND LPC) |
| Authorized Official Contact | 2015904242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Star Counseling Llc 1369 North Ave Apt 21 Elizabeth NJ 07208-2626 Ph: (864) 547-7222 | All Star Counseling Llc 1493 Trinity Church Rd Gray Court SC 29645-7800 Ph: (201) 590-4242 |
| NPI Number | 1730623406 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 02/01/2020 |
| Certification Date | 02/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730623406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |