| Missing Pieces Counseling Services, LLC | |
|
512 Dragonfly Ct Roebuck SC 29376-2779 | |
| (864) 621-9148 | |
| Not Available |
| Full Name | Missing Pieces Counseling Services, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 512 Dragonfly Ct, Roebuck, South Carolina |
| Authorized Official Name and Position | Terance Miles Dawkins (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8646219148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missing Pieces Counseling Services, LLC 512 Dragonfly Ct Roebuck SC 29376-2779 Ph: (864) 621-9148 | Missing Pieces Counseling Services, LLC 512 Dragonfly Ct Roebuck SC 29376-2779 Ph: (864) 621-9148 |
| NPI Number | 1073191797 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073191797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |