| Core Counseling Llc | |
|
3030 Ashley Town Center Dr Ste 203b Charleston SC 29414-5678 | |
| (843) 779-9563 | |
| Not Available |
| Full Name | Core Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3030 Ashley Town Center Dr Ste 203b, Charleston, South Carolina |
| Authorized Official Name and Position | Irene Laganchambers (PRINCIPAL) |
| Authorized Official Contact | 8437799563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Counseling Llc 915 Hughes Rd Johns Island SC 29455-7925 Ph: (202) 286-8157 | Core Counseling Llc 3030 Ashley Town Center Dr Ste 203b Charleston SC 29414-5678 Ph: (843) 779-9563 |
| NPI Number | 1235975442 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/07/2024 |
| Medicare PECOS PAC ID | 0446787659 |
|---|---|
| Medicare Enrollment ID | O20241231000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235975442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Irene M Lagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851862031 PECOS PAC ID: 4082141296 Enrollment ID: I20241231000023 |
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