Healthcare Provider Details

I. General information

NPI: 1447600218
Provider Name (Legal Business Name): HARVEY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CENTRAL AVENUE SUITE 17 OF BUILDING 200
GOOSE CREEK SC
29445
US

IV. Provider business mailing address

1181 MOSS GROVE DR
MONCKS CORNER SC
29461
US

V. Phone/Fax

Practice location:
  • Phone: 907-687-8482
  • Fax: 803-574-2039
Mailing address:
  • Phone: 907-687-8482
  • Fax: 803-574-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6007
License Number StateSC

VIII. Authorized Official

Name: MRS. ANGELA DENISE HARVEY
Title or Position: OWNER/THERAPIST
Credential:
Phone: 907-687-8482