Provider Demographics
NPI:1861187940
Name:FAITH ENTERPRISE COUNSELING CENTER LLC
Entity type:Organization
Organization Name:FAITH ENTERPRISE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SELENA
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-968-1724
Mailing Address - Street 1:1744 PEACH ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-1230
Mailing Address - Country:US
Mailing Address - Phone:803-968-1724
Mailing Address - Fax:803-494-1530
Practice Address - Street 1:1744 PEACH ORCHARD RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-1230
Practice Address - Country:US
Practice Address - Phone:843-900-1072
Practice Address - Fax:803-494-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty