Provider Demographics
NPI:1033820436
Name:ENCHANCE COUNSELING
Entity Type:Organization
Organization Name:ENCHANCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:SIMS
Authorized Official - Last Name:BRANNON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:864-621-0955
Mailing Address - Street 1:129 NURSERY DR
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-2725
Mailing Address - Country:US
Mailing Address - Phone:864-621-0955
Mailing Address - Fax:
Practice Address - Street 1:1 REAL ESTATE WAY STE B9
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1969
Practice Address - Country:US
Practice Address - Phone:864-621-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health