| Hope Springs Counseling Services, Llc | |
|
810 Dutch Square Blvd Suite 207 Columbia SC 29210-7318 | |
| (803) 470-5525 | |
| (888) 843-3412 |
| Full Name | Hope Springs Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 810 Dutch Square Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Kimberly Fender (OWNER) |
| Authorized Official Contact | 8034705525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Springs Counseling Services, Llc Po Box 372 Lexington SC 29071-0372 Ph: (803) 470-5525 | Hope Springs Counseling Services, Llc 810 Dutch Square Blvd Suite 207 Columbia SC 29210-7318 Ph: (803) 470-5525 |
| NPI Number | 1437553484 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Medicare PECOS PAC ID | 1951745488 |
|---|---|
| Medicare Enrollment ID | O20240222003711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437553484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4561 (South Carolina) | Primary |
| Provider Name | Kimberly L Fender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871540153 PECOS PAC ID: 9234177841 Enrollment ID: I20240222003828 |
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