Provider Demographics
NPI:1346840287
Name:CROMER COUNSELING, PA
Entity Type:Organization
Organization Name:CROMER COUNSELING, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:IRINA
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:803-983-1749
Mailing Address - Street 1:449 WOODHOUSE LOOP
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7781
Mailing Address - Country:US
Mailing Address - Phone:803-983-1749
Mailing Address - Fax:
Practice Address - Street 1:10415 BROAD RIVER RD UNIT J
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-9686
Practice Address - Country:US
Practice Address - Phone:803-983-1749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty