Provider Demographics
NPI:1932775640
Name:SPEAK-IT INTO EXISTENCE COUNSELING, CONSULTING & COACHING, LLC
Entity Type:Organization
Organization Name:SPEAK-IT INTO EXISTENCE COUNSELING, CONSULTING & COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LASHAWN
Authorized Official - Last Name:FOOTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-479-2473
Mailing Address - Street 1:420 LONDON PRIDE RD
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:420 LONDON PRIDE RD
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2735
Practice Address - Country:US
Practice Address - Phone:803-479-2473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty