Provider Demographics
NPI:1831514108
Name:CHARIS COUNSELING & CONSULTING
Entity type:Organization
Organization Name:CHARIS COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:NANNA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCS
Authorized Official - Phone:843-789-9990
Mailing Address - Street 1:506 BOOKMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-9711
Mailing Address - Country:US
Mailing Address - Phone:843-789-9990
Mailing Address - Fax:
Practice Address - Street 1:810 DUTCH SQUARE BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7318
Practice Address - Country:US
Practice Address - Phone:803-394-0357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4379101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty