# SPEAKEASY COUNSELING

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

## Provider details

- **NPI number:** 1801537352
- **Authorized official:** TINA MARIA ROBERTSON MMFT, LMFT (OWNER)
- **Authorized official phone:** (864) 590-1077

## Contact information

- **Practice address:** 102 SHEA ST, SUMMERVILLE, SC 29485-7350
- **Practice address phone:** (864) 590-1077
- **Mailing address:** 102 SHEA ST, SUMMERVILLE, SC 29485-7350
- **Mailing address phone:** (864) 590-1077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 07/21/2023