Healthcare Provider Details

I. General information

NPI: 1932983285
Provider Name (Legal Business Name): ENGAGEMENT TECHNIQUES CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 ULVERSTON DR
ROCK HILL SC
29732-8468
US

IV. Provider business mailing address

2210 ULVERSTON DR
ROCK HILL SC
29732-8468
US

V. Phone/Fax

Practice location:
  • Phone: 980-254-7033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: EVE COKER
Title or Position: OWNER / PROVIDER
Credential: PHD, LPC, LCMHC
Phone: 980-254-7033