Provisions Counseling Services LLC
Provisions Counseling Services LLC is a Community/Behavioral Health Agency in Lake Wylie, South Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2015.
- Licensed in
- NC, SC
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6 Executive CtLake Wylie, SC 29710-9338
Phone: (704) 906-5558
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 4611 (SC) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 1484 (NC) |
Record details
| NPI number | 1811371842 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shiricka Fair — Executive Director · (704) 906-5558 |
| NPI enumerated | July 20, 2015 |
| Last updated in NPPES | July 20, 2015 |
| Mailing address | 5115 Mintvale Dr, Charlotte, NC 28269-1689 |