Provider Demographics
NPI:1689449282
Name:ALFORD ENTERPRISES / LOWCOUNTRY EDUCATIONAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ALFORD ENTERPRISES / LOWCOUNTRY EDUCATIONAL ASSOCIATES, LLC
Other - Org Name:GEMINI COUNSELING SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ALFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-634-6103
Mailing Address - Street 1:623 BELLINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:BEECH ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29842-8655
Mailing Address - Country:US
Mailing Address - Phone:803-634-6103
Mailing Address - Fax:
Practice Address - Street 1:623 BELLINGHAM DR
Practice Address - Street 2:
Practice Address - City:BEECH ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29842-8655
Practice Address - Country:US
Practice Address - Phone:803-634-6103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty