Provider Demographics
NPI:1598530123
Name:HEALING STONES FAMILY COUNSELING SERVICES
Entity Type:Organization
Organization Name:HEALING STONES FAMILY COUNSELING SERVICES
Other - Org Name:HEALING STONES FAMILY COUNSELING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARTAGENA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:180-398-9354
Mailing Address - Street 1:189 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-2001
Mailing Address - Country:US
Mailing Address - Phone:803-989-3542
Mailing Address - Fax:
Practice Address - Street 1:189 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-2001
Practice Address - Country:US
Practice Address - Phone:803-989-3542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING STONES FAMILY COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor