MEDICARE: RECONCILIATION MINISTRIES SC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1487486957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECONCILIATION MINISTRIES SC

Provider Business Mailing Address
First Line	:	PO BOX 211846
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29221-6846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3128 BROAD RIVER RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-5922
Country	:	US
Telephone Number	:	803-814-4370
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ASHLEY ARRINGTON
Credential	:
Telephone Number	:	803-769-7823

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

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