Organization · NPI-2

A Center For Adult Adolescent & Child Counseling PA

Social Worker · Charleston, SC

NPI number1356558019
StatusActive
Last updated in NPPESDec 15, 2016

Details

NPI
1356558019
Entity type
Organization (NPI-2)
Legal business name
A Center For Adult Adolescent & Child Counseling PA
Organization subpart
No
Enumeration date
May 16, 2007
Last updated
Dec 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker806SCYes
101YP2500X Counselor, Professional103SC

Practice location

1112 Old Towne Rd
Charleston, SC 29407-6063

Phone 843-763-0363 · Fax 843-763-0363

Mailing address

1112 Old Towne Rd
Charleston, SC 29407-6063

Phone 843-763-0363 · Fax 843-763-0363

Authorized official

Billy Engram Barrineau
Director & Psychotherapist
8437630363

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