MEDICARE: HOPKINS COUNSELING AND CONSULTING, 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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1942073648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPKINS COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 6251
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29171-6251
Country	:	US
Telephone Number	:	803-291-2528
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 HUNTERS MILL DR
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-1272
Country	:	US
Telephone Number	:	803-291-2528
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KARON ANTOINE HOPKINS
Credential	:	LISW-CP
Telephone Number	:	803-291-2528

Provider Enumeration Date	:	11/03/2023
Last Update Date	:	11/03/2023

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