Provider Demographics
NPI:1316382153
Name:PRESSLEY, MONIQUE SUBRIA
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:SUBRIA
Last Name:PRESSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-3408
Mailing Address - Country:US
Mailing Address - Phone:843-355-7233
Mailing Address - Fax:
Practice Address - Street 1:1503 WOODLAND DR
Practice Address - Street 2:500 N ACADEMY ST
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-2123
Practice Address - Country:US
Practice Address - Phone:843-355-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor