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CHOICES COUNSELING AND ADVOCACY CENTER LLC NPI 1124512132


NPI Information

NPI: 1124512132
Provider Name: CHOICES COUNSELING AND ADVOCACY CENTER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3969 SOUTHEASTERN WAY
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 851-4049
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CHOICES COUNSELING AND ADVOCACY CENTER, LLC is a mental health counselor in West Columbia, SC. CHOICES COUNSELING AND ADVOCACY CENTER, LLC NPI is 1124512132. The provider is registered as an organization entity type.

The provider's business location address is:

3969 SOUTHEASTERN WAY
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 851-4049

The provider's authorized official is Christine Johnson .
The authorized official title is Clinical Director and has the following contact phone number (803) 851-4049.

The enumeration date for this NPI number is 6/22/2018 and was last updated on 6/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health5155SOUTH CAROLINANo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)5155SOUTH CAROLINANo
3261QM0850XClinic/CenterAdult Mental Health5155SOUTH CAROLINANo
4261QM0855XClinic/CenterAdolescent and Children Mental Health5155SOUTH CAROLINANo
5251B00000XCase Management5155SOUTH CAROLINANo
6101YM0800XCounselorMental Health5155SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PC1019MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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