| Your Counseling Services Inc | |
|
6650 Rivers Ave North Charleston SC 29406-4809 | |
| (843) 260-5361 | |
| Not Available |
| Full Name | Your Counseling Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6650 Rivers Ave, North Charleston, South Carolina |
| Authorized Official Name and Position | Kem D Fraiser (PROVIDER) |
| Authorized Official Contact | 8432605361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Counseling Services Inc 6650 Rivers Ave North Charleston SC 29406-4809 Ph: (843) 260-5361 | Your Counseling Services Inc 6650 Rivers Ave North Charleston SC 29406-4809 Ph: (843) 260-5361 |
| NPI Number | 1568858165 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568858165 | NPI | - | NPPES |
| HA1007 | Medicaid | SC | |
| 0835902 | Other | NC | ARTICLES OF INCORPORATION |
| 11850682 | Other | CAQH PROVIDER ID | |
| 638940225B | Medicaid | GA |
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