Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TRAILSIDE COUNSELING
Active
Organization
TRAILSIDE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY EIDSON (CLINICAL SOCIAL WORKER)
(864) 216-7010
Entity
Organization
Contact information
Practice address
6715 STATE PARK RD, TRAVELERS REST, SC 29690-1831
(864) 216-7010
Mailing address
164 MIDWOOD RD, TRAVELERS REST, SC 29690-1864
(864) 216-7010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467052530
—
SC
Enumeration date
10/17/2022
Last updated
10/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up