Organization
PALMETTO SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR AUSTIN JR. (PRESIDENT)
(864) 346-2800
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD STE 301, SUITE 301, GREENVILLE, SC 29607-2762
(864) 346-2800
(864) 272-1974
Mailing address
25 WOODS LAKE RD STE 301, SUITE 301, GREENVILLE, SC 29607-2762
(864) 346-2800
(864) 272-1974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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