Healthcare Provider Details

I. General information

NPI: 1134321490
Provider Name (Legal Business Name): NAN GIORDANO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PARKWAY COMMONS WAY
GREER SC
29650-5213
US

IV. Provider business mailing address

4 PARKWAY COMMONS WAY
GREER SC
29650-5213
US

V. Phone/Fax

Practice location:
  • Phone: 864-877-7025
  • Fax: 864-877-7026
Mailing address:
  • Phone: 864-877-7025
  • Fax: 864-877-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2867
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: NAN C GIORDANO
Title or Position: SOLE PROPRIETOR
Credential: LPC
Phone: 864-877-7025