Provider Demographics
NPI:1689387193
Name:PRINGLE, TELISHA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:TELISHA
Middle Name:
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SOUTHPORT RD STE F
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-3814
Mailing Address - Country:US
Mailing Address - Phone:864-283-0637
Mailing Address - Fax:
Practice Address - Street 1:115 SOUTHPORT RD STE F
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-3814
Practice Address - Country:US
Practice Address - Phone:864-283-0637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8603101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional