Provider Demographics
NPI:1679794036
Name:KEYSTONE COUNSELING & COUNSULTING, LLC
Entity Type:Organization
Organization Name:KEYSTONE COUNSELING & COUNSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:864-297-5377
Mailing Address - Street 1:152 MILESTONE WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6606
Mailing Address - Country:US
Mailing Address - Phone:864-297-5377
Mailing Address - Fax:864-297-6387
Practice Address - Street 1:152 MILESTONE WAY
Practice Address - Street 2:SUITE C
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6606
Practice Address - Country:US
Practice Address - Phone:864-297-5377
Practice Address - Fax:864-297-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3557101YP2500X
SC56421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty