Organization
EAGLE'S NEST COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L FAILE LPC (OWNER)
(803) 322-1383
Entity
Organization
Contact information
Practice address
2025 EBENEZER RD, K-5, ROCK HILL, SC 29732-1062
(803) 322-1383
Mailing address
PO BOX 37084, ROCK HILL, SC 29732-0518
(803) 322-1383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3522
NC
101YP2500X
Professional Counselor
Primary
3719
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102329
—
NC
Enumeration date
04/17/2006
Last updated
10/20/2009
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