Provider Demographics
NPI:1194568345
Name:SADIK, SUHAD (LPC, NCC, BC-HSP)
Entity type:Individual
Prefix:
First Name:SUHAD
Middle Name:
Last Name:SADIK
Suffix:
Gender:F
Credentials:LPC, NCC, BC-HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2502
Mailing Address - Country:US
Mailing Address - Phone:803-261-9025
Mailing Address - Fax:
Practice Address - Street 1:2734 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2502
Practice Address - Country:US
Practice Address - Phone:803-261-9025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist