DJ Healthcare Group
Organization Active NPI Counselor · Laurens, SC
NPI 1629564323 · NPPES record last updated Jul 5, 2018
Key facts
- NPI
- 1629564323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- DJ HEALTHCARE GROUP
- Practice address
- 639 Sullivan Street
Laurens, SC 29360 - Phone
- (864) 300-1657
- NPI assigned
- Jul 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Ms. Dana Lee
- Title
- Director
- Phone
- (864) 300-1657
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| School Counselor |
101YS0200X | |||
| Religious Nonmedical Practitioner |
374K00000X |
Addresses
Primary practice location
639 Sullivan Street
Laurens, SC 29360
Mailing address
639 Sullivan Street
Laurens, SC 29360
Phone (864) 300-1657
Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2018. 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.