| Clear Vision Counseling, Llc. | |
|
1627 Auburn St. Columbia SC 29204 | |
| (803) 888-9058 | |
| Not Available |
| Full Name | Clear Vision Counseling, Llc. |
|---|---|
| Speciality | Counselor |
| Location | 1627 Auburn St., Columbia, South Carolina |
| Authorized Official Name and Position | Shamiquia Mcpherson (OWNER) |
| Authorized Official Contact | 8038889058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Vision Counseling, Llc. 1627 Auburn St Columbia SC 29204-1411 Ph: (803) 888-9058 | Clear Vision Counseling, Llc. 1627 Auburn St. Columbia SC 29204 Ph: (803) 888-9058 |
| NPI Number | 1306448527 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 0840710034 |
|---|---|
| Medicare Enrollment ID | O20250218002617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306448527 | NPI | - | NPPES |
| PC1668 | Medicaid | SC | |
| PG0446 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Delsondra Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083274708 PECOS PAC ID: 0840600714 Enrollment ID: I20240314000275 |
| Provider Name | Shamiquia N. Mcpherson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023492287 PECOS PAC ID: 6204356496 Enrollment ID: I20250218002803 |
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