Healthcare Provider Details
I. General information
NPI: 1790610335
Provider Name (Legal Business Name): HEALING BRIDGES COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 TIGER BLVD STE 1
CLEMSON SC
29631-2663
US
IV. Provider business mailing address
PO BOX 48
CLEMSON SC
29633-0048
US
V. Phone/Fax
- Phone: 864-710-1556
- Fax:
- Phone: 864-710-1556
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
HARRISON
FREDERICK
TRAMMELL
Title or Position: BOARD CHAIR
Credential:
Phone: 864-710-1556