Provider Demographics
NPI:1518359140
Name:OPTIMA COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:OPTIMA COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:864-991-3423
Mailing Address - Street 1:3505 PELHAM RD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4154
Mailing Address - Country:US
Mailing Address - Phone:864-991-3423
Mailing Address - Fax:864-626-0010
Practice Address - Street 1:3505 PELHAM RD STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4154
Practice Address - Country:US
Practice Address - Phone:864-991-3423
Practice Address - Fax:864-626-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty