Healthcare Provider Details

I. General information

NPI: 1447426143
Provider Name (Legal Business Name): FAMILY ASSESSMENT COUNSELING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 07/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3148 HIGHWAY 308
CLINTON SC
29325-7610
US

IV. Provider business mailing address

3148 HIGHWAY 308
CLINTON SC
29325-7610
US

V. Phone/Fax

Practice location:
  • Phone: 864-833-4040
  • Fax: 864-833-9978
Mailing address:
  • Phone: 864-833-4040
  • Fax: 864-833-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHY S. MCALISTER
Title or Position: CEO
Credential: PH.D
Phone: 864-833-4040