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Organization
COMMODORE EDUCATIONAL CONSULTING AND COUNSELING INSTITUTE, LLC
Active
Organization
COMMODORE EDUCATIONAL CONSULTING AND COUNSELING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE ADASSA COMMODORE LISW-CP (OWNER/CEO)
(803) 321-6657
Entity
Organization
Contact information
Practice address
4029 MCGEE RD, COWARD, SC 29530-5232
(843) 307-9566
Mailing address
PO BOX 62, LAKE CITY, SC 29560-0062
(843) 307-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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