Provider Demographics
NPI:1659334647
Name:PLUMLEY, CECIL GLEN (LISW-CP)
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:GLEN
Last Name:PLUMLEY
Suffix:
Gender:M
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 BELUE MILL RD
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-9036
Mailing Address - Country:US
Mailing Address - Phone:864-494-6291
Mailing Address - Fax:
Practice Address - Street 1:206 E RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-1626
Practice Address - Country:US
Practice Address - Phone:864-457-2812
Practice Address - Fax:864-457-2812
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27251041C0700X
SC002725101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty