Common Ground Therapeutic And Coaching Services, Llc | |
2105 N Main St Ste D Anderson SC 29621-3872 | |
(864) 634-0930 | |
(864) 900-0248 |
Full Name | Common Ground Therapeutic And Coaching Services, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2105 N Main St Ste D, Anderson, South Carolina |
Authorized Official Name and Position | Tinisha Pender (THERAPIST/OWNER) |
Authorized Official Contact | 8646340930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Common Ground Therapeutic And Coaching Services, Llc 2105 N Main St Ste D Anderson SC 29621-3872 Ph: (864) 634-0930 | Common Ground Therapeutic And Coaching Services, Llc 2105 N Main St Ste D Anderson SC 29621-3872 Ph: (864) 634-0930 |
NPI Number | 1053096396 |
---|---|
Provider Enumeration Date | 06/15/2023 |
Last Update Date | 06/15/2023 |
Certification Date | 06/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053096396 | NPI | - | NPPES |
PC2508 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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