Organization
CHOSEN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN OBIKA PHD (OWNER)
(706) 284-1464
Entity
Organization
Contact information
Practice address
18 BARNETTE DR, SUMTER, SC 29150-8004
(706) 284-1464
Mailing address
31 BARNETTE DR, SUMTER, SC 29150-8003
(706) 284-1464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033169834
—
SC
Enumeration date
02/17/2015
Last updated
02/17/2015
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