Provider Demographics
NPI:1154679009
Name:SANDERS FAMILY COUNSELING LLC
Entity type:Organization
Organization Name:SANDERS FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LECOLE
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-960-2050
Mailing Address - Street 1:2135 HOFFMEYER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4087
Mailing Address - Country:US
Mailing Address - Phone:843-960-2050
Mailing Address - Fax:843-799-0091
Practice Address - Street 1:2135 HOFFMEYER RD STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4087
Practice Address - Country:US
Practice Address - Phone:843-960-2050
Practice Address - Fax:843-799-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-27
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC83981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty