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NPI 1669052916

NPI 1669052916 : RELIANCE COUNSELING : SIMPSONVILLE, SC

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General NPI Number Information
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    NPI Number           |    1669052916
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    Entity Type          |    Organization 
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    Legal Business Name  |    RELIANCE COUNSELING 
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Dates
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    Enumeration Date     |    04/12/2021
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    Last Update Date     |    04/12/2021
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Provider Practice Location Address
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    Address Line         |    110B HOSPITAL DR 
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    City                 |    SIMPSONVILLE
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    State                |    SC
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    Zip                  |    29681-3226
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    Country              |    US
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    Telephone            |    864-276-4644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1900 MCKELVEY RD 
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    City                 |    FOUNTAIN INN
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    State                |    SC
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    Zip                  |    29644-9718
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    Country              |    US
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    Telephone            |    864-276-4644
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. CINDY M COXIE 
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    Credential           |    LPC
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    Telephone            |    864-276-4644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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