Healthcare Provider Details

I. General information

NPI: 1467207209
Provider Name (Legal Business Name): PICKENS COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E 1ST AVE
EASLEY SC
29640-3039
US

IV. Provider business mailing address

208 E 1ST AVE
EASLEY SC
29640-3039
US

V. Phone/Fax

Practice location:
  • Phone: 864-898-5800
  • Fax:
Mailing address:
  • Phone: 864-898-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANGELA FARMER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 864-898-5800