# ESSENTIAL BEHAVIOR COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417234394
- **Authorized official:** HOPE/GREGORY GAINES/EVANS (CO CEO/ CO CEO)
- **Authorized official phone:** (803) 290-6860

## Contact information

- **Practice address:** 131 POPLAR STREET, ROOM 114, BOWMAN, SC 29018
- **Practice address phone:** (803) 290-6860
- **Mailing address:** 2344 NORTHVIEW DR, APT 3E, ORANGEBURG, SC 29118-2973
- **Mailing address phone:** (803) 290-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2011
- **Last updated:** 08/28/2012