Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
INTERNATIONAL CONSULTANT OF HEALTH AND EDUCATIONAL PSYCHOLOGY LLC
Active
Organization
INTERNATIONAL CONSULTANT OF HEALTH AND EDUCATIONAL PSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKA ABDUL MOUSTAFA I PH.D (CEO)
(803) 477-7928
Entity
Organization
Contact information
Practice address
108 CAUGHMAN RIDGE RD, COLUMBIA, SC 29209-3114
(803) 477-7928
Mailing address
108 CAUGHMAN RIDGE RD, COLUMBIA, SC 29209-3114
(803) 477-7928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
06/21/2010
Last updated
03/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers