Provider Demographics
NPI:1700554193
Name:A NEW YOU COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:A NEW YOU COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DURANT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-992-9678
Mailing Address - Street 1:901 W EVANS ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3441
Mailing Address - Country:US
Mailing Address - Phone:843-799-0088
Mailing Address - Fax:843-407-1067
Practice Address - Street 1:901 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3441
Practice Address - Country:US
Practice Address - Phone:843-799-0088
Practice Address - Fax:843-407-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health