Provider Demographics
NPI:1457820326
Name:TRIY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:TRIY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:QUAMAINE
Authorized Official - Last Name:CARN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:803-560-8208
Mailing Address - Street 1:2629 LIBERTY HILL RD UNIT 2024
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-1874
Mailing Address - Country:US
Mailing Address - Phone:803-560-8208
Mailing Address - Fax:803-560-8210
Practice Address - Street 1:367 SUMTER HWY UNIT D
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:SC
Practice Address - Zip Code:29020-7314
Practice Address - Country:US
Practice Address - Phone:803-560-8208
Practice Address - Fax:803-560-8210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty