Healthcare Provider Details

I. General information

NPI: 1730212028
Provider Name (Legal Business Name): YOUR COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 RIVERS AVE
NORTH CHARLESTON SC
29406-4809
US

IV. Provider business mailing address

6650 RIVERS AVE
NORTH CHARLESTON SC
29406-4809
US

V. Phone/Fax

Practice location:
  • Phone: 843-576-5400
  • Fax:
Mailing address:
  • Phone: 843-260-5361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MS. KEM DENICE FRASIER
Title or Position: INTERNATIONAL ASSOCIATION OF CLINIC
Credential: IACTP
Phone: 843-260-5361