Provider Demographics
NPI:1952464430
Name:PALMETTO HEALTH ALLIANCE
Entity Type:Organization
Organization Name:PALMETTO HEALTH ALLIANCE
Other - Org Name:THE PASTORAL COUNSELING CENTER OF LAURENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORP DIRECTOR, PT FINANCIAL SVCS
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-296-2443
Mailing Address - Street 1:112 JOHN ST STE 102
Mailing Address - Street 2:THE PASTORAL COUNSELING CENTER OF EASLEY
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-1405
Mailing Address - Country:US
Mailing Address - Phone:864-442-7585
Mailing Address - Fax:864-859-9648
Practice Address - Street 1:300 W MAIN ST
Practice Address - Street 2:THE PASTORAL COUNSELING CENTER OF LAURENS
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360-2943
Practice Address - Country:US
Practice Address - Phone:888-293-7585
Practice Address - Fax:864-859-9648
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PALMETTO HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-18
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty