NPI 1003004508

Kreative Counseling Enrichment Services, LLC

Organisation Professional Counselor Columbia, SC

Practice location

Address: 2110 N Beltline Blvd, Columbia, SC 29204-3999
Phone: (803) 261-1621
Mailing address: PO Box 4493, Columbia, SC 29240-4493

Authorised official

Name: Crystal M Russell
Title: Professional Counselor
Phone: (803) 261-1621

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4739 (SC)

Other Counselor providers in South Carolina →

Registry record

NPI: 1003004508
Entity type: Organization
NPI issued: 9 Oct 2007
Record last updated: 9 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.