Healthcare Provider Details

I. General information

NPI: 1508069063
Provider Name (Legal Business Name): COMMUNITY CARE AND COUNSELING OF AIKEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 CHESTERFIELD ST
AIKEN SC
29801
US

IV. Provider business mailing address

120 CHESTERFIELD ST
AIKEN SC
29801
US

V. Phone/Fax

Practice location:
  • Phone: 803-641-9979
  • Fax: 803-641-7127
Mailing address:
  • Phone: 803-641-9979
  • Fax: 803-641-7127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: DR. DANNY GARNETT
Title or Position: DIRECTOR
Credential: MDIV, LPC, LMFT
Phone: 803-641-9979