LIFE ENRICHMENT COUNSELING CENTER INC (NPI# 1013013473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013013473 |
| Entity Type | Organization |
| Organization Name | LIFE ENRICHMENT COUNSELING CENTER INC |
| Practice Address |
130 Land O Pines Circle Moncks Corner SC 29461 |
| Practice Telephone | 8437617446 |
| Practice Fax Number | 8437617446 |
| Mailing Telephone | 8437617446 |
| Mailing Fax Number | 8437617446 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. GAYLE P JOURDAIN (PRESIDENT) |
| Authorized Official Telephone | 8437617446 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
130 LAND O PINES CIRCLE |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932583846 | Angela Harvey | Counselor | 531 Birchwood Dr, Moncks Corner, SC 29461-3043 | 2015-07-10 |
| 1568568012 | David Michael Bruhn | Counselor | 100 Gulledge St, Moncks Corner, SC 29461-3747 | 2006-09-15 |
| 1619915055 | Elizabeth L Vinson | Counselor | 219 N Highway 52, Ste R, Moncks Corner, SC 29461-3926 | 2006-06-04 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1265051569 | Jameka Rembert | Counselor | 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 | 2020-04-16 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1710404868 | Sarah R Gerloff | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2017-08-29 |
| 1629592449 | Sherri Ashbee | Counselor | 109 E Main St, Moncks Corner, SC 29461-3764 | 2017-08-02 |
| 1851815989 | Michael A Patterson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2017-07-31 |
| 1447774567 | Elizabeth A Randall | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2017-07-31 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on LIFE ENRICHMENT COUNSELING CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.