| Columbia Northeast Counseling Services, Llc | |
|
9570 Two Notch Rd Suite #8 Columbia SC 29223-4308 | |
| (803) 782-5556 | |
| (803) 788-0914 |
| Full Name | Columbia Northeast Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9570 Two Notch Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Suzanne W Peebles (OWNER/MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8037825556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Northeast Counseling Services, Llc Po Box 25453 Columbia SC 29224-5453 Ph: (803) 782-5556 | Columbia Northeast Counseling Services, Llc 9570 Two Notch Rd Suite #8 Columbia SC 29223-4308 Ph: (803) 782-5556 |
| NPI Number | 1073054847 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073054847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3157 (South Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | 8950 (South Carolina) | Secondary |
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