| Common Ground Therapeutic And Coaching Services, Llc | |
|
2105 N Main St Ste D Anderson SC 29621-3872 | |
| (864) 634-0930 | |
| (864) 900-0248 |
| Full Name | Common Ground Therapeutic And Coaching Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2105 N Main St Ste D, Anderson, South Carolina |
| Authorized Official Name and Position | Tinisha Pender (THERAPIST/OWNER) |
| Authorized Official Contact | 8646340930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Common Ground Therapeutic And Coaching Services, Llc 2105 N Main St Ste D Anderson SC 29621-3872 Ph: (864) 634-0930 | Common Ground Therapeutic And Coaching Services, Llc 2105 N Main St Ste D Anderson SC 29621-3872 Ph: (864) 634-0930 |
| NPI Number | 1053096396 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053096396 | NPI | - | NPPES |
| PC2508 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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