Provider Demographics
NPI:1851610323
Name:RIVERBLUFF DISCIPLESHIP COUNSELING CENTER
Entity Type:Organization
Organization Name:RIVERBLUFF DISCIPLESHIP COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF DISCIPLESHIP COUNSELING
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHIRLE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:843-266-6328
Mailing Address - Street 1:5421 RIVER BLUFF PKWY
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-7135
Mailing Address - Country:US
Mailing Address - Phone:843-266-6328
Mailing Address - Fax:843-266-0573
Practice Address - Street 1:5421 RIVER BLUFF PKWY
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-7135
Practice Address - Country:US
Practice Address - Phone:843-266-6328
Practice Address - Fax:843-266-0573
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVERBLUFF CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health