| Avillage Counseling Group Llc | |
|
112k White Oak Ln Lexington SC 29073-9465 | |
| (803) 936-1910 | |
| Not Available |
| Full Name | Avillage Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 112k White Oak Ln, Lexington, South Carolina |
| Authorized Official Name and Position | Herbert Addison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8039361910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avillage Counseling Group Llc 112k White Oak Ln Lexington SC 29073-9465 Ph: (803) 936-1910 | Avillage Counseling Group Llc 112k White Oak Ln Lexington SC 29073-9465 Ph: (803) 936-1910 |
| NPI Number | 1437457520 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437457520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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