Healthcare Provider Details

I. General information

NPI: 1902809924
Provider Name (Legal Business Name): THE SALUDA COUNSELING SERVICES CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W MAIN ST
ROCK HILL SC
29732-8968
US

IV. Provider business mailing address

2400 W MAIN ST
ROCK HILL SC
29732-8968
US

V. Phone/Fax

Practice location:
  • Phone: 803-327-6103
  • Fax: 803-328-5443
Mailing address:
  • Phone: 803-327-6103
  • Fax: 803-328-5443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA J JOHNSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 803-327-6103