Provider Demographics
NPI:1598184285
Name:ALL SEASONS COUNSELING & MEDIATION SERVICES, LLC
Entity Type:Organization
Organization Name:ALL SEASONS COUNSELING & MEDIATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-707-9366
Mailing Address - Street 1:1468 CAROLINA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-4943
Mailing Address - Country:US
Mailing Address - Phone:803-707-9366
Mailing Address - Fax:877-852-8767
Practice Address - Street 1:1468 CAROLINA AVE
Practice Address - Street 2:BOX 211272
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29221
Practice Address - Country:US
Practice Address - Phone:803-707-9366
Practice Address - Fax:877-852-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)