Healthcare Provider Details

I. General information

NPI: 1487759940
Provider Name (Legal Business Name): FIRST PRESBYTERIAN CHURCH COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LADY ST
COLUMBIA SC
29201-3402
US

IV. Provider business mailing address

1500 LADY ST
COLUMBIA SC
29201-3402
US

V. Phone/Fax

Practice location:
  • Phone: 803-779-1995
  • Fax: 180-377-9788
Mailing address:
  • Phone: 803-779-1995
  • Fax: 180-377-9788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS N BARBIAN
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D. , LPC
Phone: 803-779-1995