MEDICARE: BEAUTY FOR ASHES COUNSELING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1508110925	OTHER	SC	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720484983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTY FOR ASHES COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1527 WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-5047
Country	:	US
Telephone Number	:	864-501-3633
Fax Number	:	864-501-3633

Provider Business Practice Location Address
First Line	:	1527 WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29609-5047
Country	:	US
Telephone Number	:	864-501-3633
Fax Number	:	864-501-3633

Authorized Official
Title or Position	:	OWNER
Name	:	CHERYL CHILDERS
Credential	:	LISW-CP
Telephone Number	:	864-501-3633

Provider Enumeration Date	:	11/14/2014
Last Update Date	:	07/02/2026

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