MEDICARE: PROSPER COUNSELING AND CONSULTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1316516701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROSPER COUNSELING AND CONSULTING

Provider Business Mailing Address
First Line	:	2701 HARD SCRABBLE RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-7706
Country	:	US
Telephone Number	:	803-447-5387
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 HARD SCRABBLE RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-7706
Country	:	US
Telephone Number	:	803-477-4923
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/THERAPIST
Name	:	BRITTANY LATISE HARRISON
Credential	:	LPC
Telephone Number	:	803-477-4923

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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Directions to “PROSPER COUNSELING AND CONSULTING ” Practice Location

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