Provider Demographics
NPI:1013353978
Name:FLORENCE SCHOOLS DISTRICT ONE
Entity Type:Organization
Organization Name:FLORENCE SCHOOLS DISTRICT ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GARNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-678-4193
Mailing Address - Street 1:1901 E OLD MARION HWY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-8505
Mailing Address - Country:US
Mailing Address - Phone:843-678-4193
Mailing Address - Fax:843-664-8180
Practice Address - Street 1:1901 E OLD MARION HWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-8505
Practice Address - Country:US
Practice Address - Phone:843-678-4193
Practice Address - Fax:843-664-8180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC=========Medicaid