| New Wave Counseling Services, LLC | |
|
175 Guiomar Rd Cordova SC 29039-9344 | |
| (803) 860-3223 | |
| Not Available |
| Full Name | New Wave Counseling Services, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 175 Guiomar Rd, Cordova, South Carolina |
| Authorized Official Name and Position | Zendrea Govan (COUNSELOR) |
| Authorized Official Contact | 8038603223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Wave Counseling Services, LLC 175 Guiomar Rd Cordova SC 29039-9344 | New Wave Counseling Services, LLC 175 Guiomar Rd Cordova SC 29039-9344 Ph: (803) 860-3223 |
| NPI Number | 1649896770 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649896770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |