Provider Demographics
NPI:1720248792
Name:COMPREHENSIVE COUNSELING
Entity Type:Organization
Organization Name:COMPREHENSIVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:QUIRK
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:803-397-7521
Mailing Address - Street 1:PO BOX 3086
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-4011
Mailing Address - Country:US
Mailing Address - Phone:803-397-7521
Mailing Address - Fax:803-667-4963
Practice Address - Street 1:401 WESTERN LN
Practice Address - Street 2:SUITE A
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7953
Practice Address - Country:US
Practice Address - Phone:803-397-7521
Practice Address - Fax:803-667-4963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4957251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7852Medicare PIN
SCQ328167852Medicare UPIN