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NPI Code Detail

MEDICARE: H.I.S COUNSELING SERVICES LLC

MEDICARE: H.I.S 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1770946832
Entity Type Code : Organization
Provider Name (Legal Business Name) : H.I.S COUNSELING SERVICES LLC
Provider Business Mailing Address
First Line : 2443 CHERRY RD STE A
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2172
Country : US
Telephone Number : 704-421-8290
Fax Number :
Provider Business Practice Location Address
First Line : 2703 FOREST GROVE CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-1034
Country : US
Telephone Number : 704-421-8290
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CANDICE KILGORE STINSON
Credential :
Telephone Number : 704-421-8290
Provider Enumeration Date : 04/05/2016
Last Update Date : 04/05/2016

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