Organization
GENESIS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NICOLE PRATT LPC, LAC, CACII, MAC (OWNER/ THERAPIST)
(864) 515-6440
Entity
Organization
Contact information
Practice address
364 S PINE ST STE A110, SPARTANBURG, SC 29302-2654
(864) 515-6440
(864) 308-2442
Mailing address
364 S PINE ST STE A110, SPARTANBURG, SC 29302-2654
(864) 515-6440
(864) 308-2442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/16/2014
Last updated
09/06/2024
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