| Counseling For Life, Inc. | |
|
125 Muddy Toes Dr Anderson SC 29626-5349 | |
| (864) 353-3384 | |
| Not Available |
| Full Name | Counseling For Life, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 125 Muddy Toes Dr, Anderson, South Carolina |
| Authorized Official Name and Position | Michaela J Tomberlin (OWNER) |
| Authorized Official Contact | 8643533384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling For Life, Inc. 4123 Old Portman Rd Anderson SC 29626-5346 Ph: (864) 353-3384 | Counseling For Life, Inc. 125 Muddy Toes Dr Anderson SC 29626-5349 Ph: (864) 353-3384 |
| NPI Number | 1588954994 |
|---|---|
| Provider Enumeration Date | 04/19/2011 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Medicare PECOS PAC ID | 8426490426 |
|---|---|
| Medicare Enrollment ID | O20240522001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588954994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5163 (South Carolina) | Primary |
| Provider Name | Michaela J Tomberlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881911097 PECOS PAC ID: 0840632857 Enrollment ID: I20240522002545 |
| Provider Name | Angie W Gilstrap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477797587 PECOS PAC ID: 8628514080 Enrollment ID: I20240722001295 |
| Provider Name | Martha Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922468339 PECOS PAC ID: 9739625864 Enrollment ID: I20240724003486 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265181135 PECOS PAC ID: 9638617228 Enrollment ID: I20240814001115 |
| Provider Name | Claire M Krietemeyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336802255 PECOS PAC ID: 6507305232 Enrollment ID: I20240827000371 |
| Provider Name | Paige L Gossett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053064055 PECOS PAC ID: 6002349941 Enrollment ID: I20241030002076 |
| Provider Name | Michelle L Pickens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700667714 PECOS PAC ID: 3779011515 Enrollment ID: I20250108000473 |
| Provider Name | Jonnett M Barrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033898564 PECOS PAC ID: 2163942293 Enrollment ID: I20250220000131 |
| Provider Name | Chesnee Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700280419 PECOS PAC ID: 3971023961 Enrollment ID: I20250220002438 |
| Provider Name | Trinette A Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285787523 PECOS PAC ID: 4587181185 Enrollment ID: I20250507001736 |
| Provider Name | Michaele L Kubacz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609677111 PECOS PAC ID: 4385161827 Enrollment ID: I20250507003412 |
| Provider Name | Shannon B Davenport |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417692039 PECOS PAC ID: 8729505292 Enrollment ID: I20250508000143 |
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