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Aegis Family Services, LLC

Counselor, Mental Health in Greenville, SC. Organization (NPI-2).

NPI number1083084545
StatusActive
Last updated in NPPESOct 1, 2015

Details

NPI
1083084545
Entity type
Organization (NPI-2)
Legal business name
Aegis Family Services, LLC
Organization subpart
No
Enumeration date
Sep 28, 2015
Last updated
Oct 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101Y00000X Counselor––
101YP2500X Counselor, Professional––
103K00000X Behavior Analyst––
103T00000X Psychologist––
103TB0200X Psychologist, Cognitive & Behavioral––
103TC1900X Psychologist, Counseling––
103TC2200X Psychologist, Clinical Child & Adolescent––
103TF0000X Psychologist, Family––
103TP0016X Psychologist, Prescribing (Medical)––
103TP0814X Psychologist, Psychoanalysis––
103TP2701X Psychologist, Group Psychotherapy––
1041C0700X Social Worker, Clinical––
106H00000X Marriage & Family Therapist––
1041S0200X Social Worker, School––

Practice location

165 Staunton Bridge Rd.
Greenville, SC 29611

Phone 864-371-2755

Mailing address

165 Staunton Bridge Rd.
Greenville, SC 29611

Phone 864-371-2755

Authorized official

Amy Maragh
Chief Executive Officer
8643712755

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