# SOUTH CAROLINA YOUTH ADVOCATE PROGRAM

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

## Provider details

- **NPI number:** 1477991941
- **Authorized official:** MR. LEX COLE (CEO)
- **Authorized official phone:** (803) 779-5500

## Contact information

- **Practice address:** 140 STONERIDGE DR, COLUMBIA, SC 29210-8200
- **Practice address phone:** (803) 779-5500
- **Practice address fax:** (803) 779-8444
- **Mailing address:** 140 STONERIDGE DR, COLUMBIA, SC 29210-8200
- **Mailing address phone:** (803) 779-5500
- **Mailing address fax:** (803) 779-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/06/2013
- **Last updated:** 06/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 998MXH | — | SC |
| 05 | — | GP6237 | — | SC |