Provider Demographics
NPI:1083153258
Name:STAIRWAY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:STAIRWAY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, NCC, LPC
Authorized Official - Phone:803-643-4263
Mailing Address - Street 1:306 LAURENS ST NW
Mailing Address - Street 2:SUITE D
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3968
Mailing Address - Country:US
Mailing Address - Phone:803-643-4263
Mailing Address - Fax:803-648-7665
Practice Address - Street 1:306 LAURENS ST NW
Practice Address - Street 2:SUITE D
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3968
Practice Address - Country:US
Practice Address - Phone:803-643-4263
Practice Address - Fax:803-648-7665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1159Medicaid