Provider Demographics
NPI:1811420631
Name:PALERMO, FRANK (LPC, NCC, MED)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:PALERMO
Suffix:
Gender:M
Credentials:LPC, NCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 TOM HALL ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-2338
Mailing Address - Country:US
Mailing Address - Phone:803-804-7326
Mailing Address - Fax:
Practice Address - Street 1:302 TOM HALL ST
Practice Address - Street 2:SUITE 5
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-2338
Practice Address - Country:US
Practice Address - Phone:803-804-7326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-08
Last Update Date:2017-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6526101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional