| Family And Individual Therapeutic Healing Llc | |
|
300 Long Pointe Ln Ste 220-b Columbia SC 29229-7543 | |
| (803) 500-5086 | |
| Not Available |
| Full Name | Family And Individual Therapeutic Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 300 Long Pointe Ln Ste 220-b, Columbia, South Carolina |
| Authorized Official Name and Position | Lisa M Giovannelli (THERAPIST/OWNER) |
| Authorized Official Contact | 3302800716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Individual Therapeutic Healing Llc 208 Ashewicke Dr Columbia SC 29229-7059 Ph: (330) 280-0716 | Family And Individual Therapeutic Healing Llc 300 Long Pointe Ln Ste 220-b Columbia SC 29229-7543 Ph: (803) 500-5086 |
| NPI Number | 1518565928 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Medicare PECOS PAC ID | 4789104001 |
|---|---|
| Medicare Enrollment ID | O20250217003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518565928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Lisa Marie Giovannelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174742837 PECOS PAC ID: 5698295913 Enrollment ID: I20250217003254 |
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