Provider Demographics
NPI:1619404399
Name:BERKELEY COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BERKELEY COUNTY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LIGON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-797-2711
Mailing Address - Street 1:109 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3764
Mailing Address - Country:US
Mailing Address - Phone:843-899-8890
Mailing Address - Fax:843-899-8669
Practice Address - Street 1:100 DAVIDSON DR
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3307
Practice Address - Country:US
Practice Address - Phone:843-797-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3746251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)