| Purposeful Prosperity Counseling & Consulting Llc | |
|
514 Maple St Bishopville SC 29010-1550 | |
| (803) 840-1745 | |
| (803) 483-1455 |
| Full Name | Purposeful Prosperity Counseling & Consulting Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 514 Maple St, Bishopville, South Carolina |
| Authorized Official Name and Position | Kathy Holloman (OWNER/ CLINICIAN) |
| Authorized Official Contact | 8038401745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Prosperity Counseling & Consulting Llc 514 Maple St Bishopville SC 29010-1550 Ph: (803) 840-1745 | Purposeful Prosperity Counseling & Consulting Llc 514 Maple St Bishopville SC 29010-1550 Ph: (803) 840-1745 |
| NPI Number | 1588389936 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588389936 | NPI | - | NPPES |
| 1807 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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