MEDICARE: A STEP FORWARD COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245875004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A STEP FORWARD COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	1855 E MAIN ST STE 14-128
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-2309
Country	:	US
Telephone Number	:	864-541-4813
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 E MAIN ST STE 14-128
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-2309
Country	:	US
Telephone Number	:	864-541-4813
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	MRS. MYRA BRUNSON-SAMUEL
Credential	:	LISW-CP
Telephone Number	:	864-541-4813

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	02/28/2025

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