NPI 1730623406 · live from the CMS NPI Registry
All Star Counseling LLC
Community/Behavioral Health in Gray Court, SC. National Provider Identifier 1730623406, active.
NPI record
| NPI | 1730623406 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 1493 Trinity Church Rd, Gray Court, SC 29645 |
| Practice phone | 201-590-4242 |
| Mailing address | 1369 North Ave, Apt 21, Elizabeth, NJ 07208 |
| Enumerated | December 14, 2016 |
| Last updated | February 1, 2020 |
| Authorized official | Isiah Lacefield, Ceo And LPC |
| Other names | All Star Counseling |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.