Organization
INTREPID CCE LLC
Active
Other names
Intrepid CCE
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA BEDELL LPC (OWNER/ORGANIZOR)
(864) 404-7824
Entity
Organization
Contact information
Practice address
837 PENDLETON ST, PICKENS, SC 29671-2578
(864) 707-1160
(864) 305-4624
Mailing address
840 N OLD PENDLETON RD, LIBERTY, SC 29657-9769
(864) 707-1160
(803) 306-7899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2024
Last updated
10/07/2025
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