Connell Anthony, LPC
Individual provider Active NPI Professional Counselor · Columbia, SC
NPI 1174890149 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1174890149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5347 (SC)
- Practice address
- 4 New Way CT
Columbia, SC 29223-4087 - Phone
- (803) 397-8059
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5347 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite of Passages Counseling Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5347 | SC | Yes |
Addresses
Primary practice location
4 New Way CT
Columbia, SC 29223-4087
Mailing address
4 New Way CT
Columbia, SC 29223-4087
Phone (803) 397-8059
Other providers in Columbia, SC
- Anointed Cuts Barber & Beauty LLC
- Another Choice Behavioral Health Service
- Another Level in-Home Care, LLC
- Carlos Agustin Anrrich
- Lacey Anslow
- Herman Anthony
- Kelli Anthony
- Leslie Shaquanda Anthony
- Teandra Anthony
- Deborah H Antley
All providers in Columbia, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.