Provider Demographics
NPI:1508200460
Name:FLORENCE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FLORENCE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRTLE
Authorized Official - Middle Name:LETITIA
Authorized Official - Last Name:VERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:843-664-8463
Mailing Address - Street 1:2348 SAVANNAH GROVE RD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-6352
Mailing Address - Country:US
Mailing Address - Phone:843-664-8463
Mailing Address - Fax:843-664-8185
Practice Address - Street 1:2348 SAVANNAH GROVE RD
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:SC
Practice Address - Zip Code:29541-6352
Practice Address - Country:US
Practice Address - Phone:843-664-8463
Practice Address - Fax:843-664-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health