Provider Demographics
NPI:1275059875
Name:OSBORNE, NELL M (LPC-I, NCC)
Entity Type:Individual
Prefix:MRS
First Name:NELL
Middle Name:M
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LPC-I, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WEXHURST RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8515
Mailing Address - Country:US
Mailing Address - Phone:847-226-3925
Mailing Address - Fax:
Practice Address - Street 1:107C VISTA OAKS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-8230
Practice Address - Country:US
Practice Address - Phone:803-727-3882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health