Organization
COMMODORE EDUCATIONAL CONSULTING AND COUNSELING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVONNE ADASSA COMMODORE LISW-CP (OWNER/CEO)
(803) 321-6657
Entity
Organization
Contact information
Practice address
4029 MCGEE RD, COWARD, SC 29530-5232
(843) 307-9566
Mailing address
PO BOX 62, LAKE CITY, SC 29560-0062
(843) 307-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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