Nefateri Smalls

Individual provider Active NPI Pastoral Counselor · Ridgeville, SC

NPI 1174902332 · NPPES record last updated Nov 19, 2021

Key facts

NPI
1174902332
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
118 Bobby Drive
Ridgeville, SC 29472-0231
Phone
(843) 296-8420
NPI assigned
May 21, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

118 Bobby Drive
Ridgeville, SC 29472-0231

Mailing address

PO Box 231
Ridgeville, SC 29472-0231
Phone (843) 879-2255

Other names

  • Nefateri Pecou Former name

Other providers in Ridgeville, SC

All providers in Ridgeville, SC · Pastoral Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.