Organization
BEHAVIORS A GO-GO
Active
Parent organization
BEHAVIORS A GO-GO
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEHAVIORS A GO-GO
Authorized official
ELIZA KATHLEEN MCCORMICK (OFFICE & BILLING MANAGER)
(864) 920-2527
Entity
Organization
Contact information
Practice address
3410 SUNSET BLVD, WEST COLUMBIA, SC 29169-3042
(864) 757-9918
(864) 757-9921
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 757-9918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7559
—
SC
Enumeration date
04/19/2022
Last updated
04/19/2022
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