Provider Demographics
NPI:1033999719
Name:PROGRESS OVER PERFECTION BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:PROGRESS OVER PERFECTION BEHAVIORAL HEALTH SERVICES
Other - Org Name:PROGRESS OVER PERFECTION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBONEIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:803-714-3935
Mailing Address - Street 1:4464 DEVINE ST
Mailing Address - Street 2:STE M #1014
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205
Mailing Address - Country:US
Mailing Address - Phone:803-200-1627
Mailing Address - Fax:803-620-1044
Practice Address - Street 1:4464 DEVINE ST
Practice Address - Street 2:STE M #1014
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205
Practice Address - Country:US
Practice Address - Phone:803-200-1627
Practice Address - Fax:803-620-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)