Provider Demographics
NPI:1710507090
Name:ADAHSA COUNSELING LLC
Entity Type:Organization
Organization Name:ADAHSA COUNSELING LLC
Other - Org Name:ADAHSA COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LASHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:803-269-3100
Mailing Address - Street 1:4611 HARD SCRABBLE RD STE 109
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9499
Mailing Address - Country:US
Mailing Address - Phone:803-350-9131
Mailing Address - Fax:
Practice Address - Street 1:200 EASCOTT PL
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-5502
Practice Address - Country:US
Practice Address - Phone:803-269-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1215255922OtherNPI