Provider Demographics
NPI:1548084957
Name:SHAI'S COACHING AND COUNSELING LLC
Entity type:Organization
Organization Name:SHAI'S COACHING AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAIENNA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:803-602-4142
Mailing Address - Street 1:404 CABIN DR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-7873
Mailing Address - Country:US
Mailing Address - Phone:231-903-8222
Mailing Address - Fax:
Practice Address - Street 1:404 CABIN DR
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-7873
Practice Address - Country:US
Practice Address - Phone:231-903-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)