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NPI Code Detail

MEDICARE: EVA MARON COUNSELING LLC

MEDICARE: EVA MARON COUNSELING LLC
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1821846080
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVA MARON COUNSELING LLC
Provider Business Mailing Address
First Line : 100 OLD CHEROKEE RD STE F-217
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-9316
Country : US
Telephone Number : 803-602-4369
Fax Number :
Provider Business Practice Location Address
First Line : 104 SPRING WATER DR
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-9233
Country : US
Telephone Number : 803-602-4369
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EVA MARON
Credential : LISW-CP
Telephone Number : 803-602-4369
Provider Enumeration Date : 05/10/2024
Last Update Date : 03/18/2026

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Directions to “EVA MARON COUNSELING LLC ” Practice Location

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