JLB Counseling Agency, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4782 Issued in SC

Legal business name

JLB COUNSELING AGENCY, LLC

Practice address

419 S Coit St
Florence, SC 29501-4701

Phone

(843) 496-6454

NPI assigned

Sep 9, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamie Bacote

Title

Owner/Director

Phone

(843) 496-6454

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1093096695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014701",
            "telephone_number": "843-496-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLB COUNSELING AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BACOTE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "843-496-6454",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "4782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.