=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952815680
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YOU MATTER COUNSELING AND CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2017
-----------------------------------------------------
Last Update Date | 07/19/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6000 GARNERS FERRY RD STE 3
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29209-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-834-3221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6000 GARNERS FERRY RD STE 3
-----------------------------------------------------
City | COLUMBIA
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29209-1303
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-834-3221
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | CAROL ANN CUNNINGHAM
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 803-834-3221
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------