Organization · NPI-2

A Sacred Space Pastoral Counseling And Consultation, LLC

Counselor, Professional · Greenville, SC

NPI number1932446903
StatusActive
Last updated in NPPESJan 11, 2013

Details

NPI
1932446903
Entity type
Organization (NPI-2)
Legal business name
A Sacred Space Pastoral Counseling And Consultation, LLC
Organization subpart
No
Enumeration date
Jan 11, 2013
Last updated
Jan 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional5356SCYes
101YP1600X Counselor, Pastoral10598SC

Practice location

185 Riley Smith Dr
Greenville, SC 29615-4311

Phone 864-275-2495

Mailing address

185 Riley Smith Dr
Greenville, SC 29615-4311

Authorized official

Rachel Mccullough Matthews
Owner/Counselor
8642752495

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Professional providers in Greenville, SC