| Eagle's Nest Counseling, Llc | |
|
2025 Ebenezer Rd K-5 Rock Hill SC 29732-1062 | |
| (803) 322-1383 | |
| Not Available |
| Full Name | Eagle's Nest Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2025 Ebenezer Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Donna L Faile (OWNER) |
| Authorized Official Contact | 8033221383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle's Nest Counseling, Llc Po Box 37084 Rock Hill SC 29732-0518 Ph: (803) 322-1383 | Eagle's Nest Counseling, Llc 2025 Ebenezer Rd K-5 Rock Hill SC 29732-1062 Ph: (803) 322-1383 |
| NPI Number | 1750346532 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750346532 | NPI | - | NPPES |
| 6102329 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3719 (South Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 3522 (North Carolina) | Secondary |
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