Healthcare Provider Details

I. General information

NPI: 1336865153
Provider Name (Legal Business Name): TIME HONORED EXISTENCE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BULL ST STE 200
SAVANNAH GA
31401-3378
US

IV. Provider business mailing address

106 SANDLEWOOD DR
SAVANNAH GA
31405-2765
US

V. Phone/Fax

Practice location:
  • Phone: 912-352-5233
  • Fax:
Mailing address:
  • Phone: 912-352-5233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE LECOUNT
Title or Position: OWNER
Credential: LPC
Phone: 912-352-5233