Provider Demographics
NPI:1790139178
Name:COUNSELING PLUS
Entity Type:Organization
Organization Name:COUNSELING PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-727-3882
Mailing Address - Street 1:3969 SOUTHEASTERN WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-2442
Mailing Address - Country:US
Mailing Address - Phone:803-727-3882
Mailing Address - Fax:803-708-9263
Practice Address - Street 1:3969 SOUTHEASTERN WAY
Practice Address - Street 2:SUITE C
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2442
Practice Address - Country:US
Practice Address - Phone:803-727-3882
Practice Address - Fax:803-708-9263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5670101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1736Medicaid