Healthcare Provider Details

I. General information

NPI: 1073058905
Provider Name (Legal Business Name): MARGARET H. MCFADDEN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2017
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 INDIA HOOK RD SUITE 201-J
ROCK HILL SC
29732-3530
US

IV. Provider business mailing address

4230 LOTTS PL
ROCK HILL SC
29732-8390
US

V. Phone/Fax

Practice location:
  • Phone: 803-526-7579
  • Fax: 803-324-0165
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5088
License Number StateSC

VIII. Authorized Official

Name: MARGARET H MCFADDEN
Title or Position: CEO
Credential: M. ED.
Phone: 803-322-2561