Provider Demographics
NPI:1003218371
Name:COMPANION COUNSELING AND COACHING
Entity Type:Organization
Organization Name:COMPANION COUNSELING AND COACHING
Other - Org Name:COMPANION COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:F
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, LCMHC
Authorized Official - Phone:803-265-8343
Mailing Address - Street 1:9 EXECUTIVE COURT
Mailing Address - Street 2:SUITE #103
Mailing Address - City:LAKE WYLIE
Mailing Address - State:SC
Mailing Address - Zip Code:29710-9338
Mailing Address - Country:US
Mailing Address - Phone:803-265-8343
Mailing Address - Fax:803-526-7635
Practice Address - Street 1:9 EXECUTIVE COURT
Practice Address - Street 2:SUITE #103
Practice Address - City:LAKE WYLIE
Practice Address - State:SC
Practice Address - Zip Code:29710-9338
Practice Address - Country:US
Practice Address - Phone:803-265-8343
Practice Address - Fax:803-526-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty