Provider Demographics
NPI:1154173110
Name:LOVING PIRANHA
Entity type:Organization
Organization Name:LOVING PIRANHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ALLSTON
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-A, PHD
Authorized Official - Phone:803-579-4416
Mailing Address - Street 1:1620 EBENEZER RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1809
Mailing Address - Country:US
Mailing Address - Phone:803-579-4416
Mailing Address - Fax:
Practice Address - Street 1:1620 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1809
Practice Address - Country:US
Practice Address - Phone:803-579-4416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health