Provider Demographics
NPI:1033828587
Name:TANYA C HARGROVE COUNSELING, LPC, LLC
Entity Type:Organization
Organization Name:TANYA C HARGROVE COUNSELING, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:COYLE
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:864-630-4195
Mailing Address - Street 1:3005 EVENING TIDE DR
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410-4805
Mailing Address - Country:US
Mailing Address - Phone:864-630-4195
Mailing Address - Fax:843-587-6075
Practice Address - Street 1:21 GAMECOCK AVE STE E
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3368
Practice Address - Country:US
Practice Address - Phone:864-630-4195
Practice Address - Fax:843-587-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)