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EAGLE'S NEST COUNSELING LLC NPI 1750346532


NPI Information

NPI: 1750346532
Provider Name: EAGLE'S NEST COUNSELING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2025 EBENEZER RD
K-5
ROCK HILL, SC
ZIP 29732
Phone: (803) 322-1383
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EAGLE'S NEST COUNSELING, LLC is a professional counselor in Rock Hill, SC. EAGLE'S NEST COUNSELING, LLC NPI is 1750346532. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2025 EBENEZER RD
K-5
ROCK HILL, SC
ZIP 29732-062
Phone: (803) 322-1383

The provider's authorized official is Donna L Faile .
The authorized official title is Owner and has the following contact phone number (803) 322-1383.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 10/20/2009.


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
1101YP2500XCounselorProfessional3522NORTH CAROLINANo
2101YP2500XCounselorProfessional3719SOUTH 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
16102329MEDICAIDNORTH 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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