Potential Counseling Service is a health care provider in Conway, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||8377 Huntington Ct, Conway, SC 29527-7989, US|
|Practice Location Phone||843-283-4132|
|Practice Location Fax|
|Legal Business Name||POTENTIAL COUNSELING SERVICE|
|Enumeration Date ?||Jul 22, 2010|
|Last Update Date ?||Jul 22, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Community/Behavioral Health||Agencies||South Carolina|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Potential Counseling Service's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Ms. Elasha Lavone Leary (M.A, GCDF)|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||843-283-4132|