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Organization

LOW COUNTRY PROFESSIONAL INTERVENTION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GIOVONNIA MCCALL (EXECUTIVE DIRECTOR)
(843) 323-4310
Entity
Organization

Contact information

Practice address
4000 S FABER PLACE DR, SUITE 300, NORTH CHARLESTON, SC 29405-8587
(843) 323-4257
Mailing address
4000 S. FABER PLACE DRIVE, SUITE 300, NORTH CHARLESTON, SC 29405-8587
(843) 323-4310

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
171R00000X
Interpreter
171W00000X
Contractor
251S00000X
Community/Behavioral Health Agency
Primary
372500000X
Chore Provider
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide

Other

Enumeration date
01/22/2016
Last updated
07/07/2016
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