Blue Water Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1818 Issued in SC

Legal business name

BLUE WATER COUNSELING, LLC

Practice address

397 Blake St
Spartanburg, SC 29302-1572

Phone

(864) 253-9089

Fax

(864) 591-1232

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy L Holland, D.MIN., LPC, LMFTNPI 1396799292

Title

Member

Phone

(864) 253-9089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Lynn Holland, D.MIN., LPC, LMFT

  • Professional Counselor
  • Spartanburg, SC
  • NPI 1396799292
  NPD (past) Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174556815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BLAKE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021572",
            "telephone_number": "864-253-9089",
            "fax_number": "864-591-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BLAKE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021572",
            "telephone_number": "864-253-9089",
            "fax_number": "864-591-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-253-9089",
        "authorized_official_credential": "D.MIN., LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Bailey Blanton, CRNA
• Heather Thomas Blanton, L.P.N.
• Jackie Denise Blanton, LPC
• Laura Elizabeth Blasko, MD
• George Ambrose Blestel Jr., MD
• Sarah Murphy Blue, NP
• Adam Rivers Blumer III, DMD
• BMS Rehabilitation Inc
• Bnflow LLC
• Luke Boalt

• Professional Counselor in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.