Provider Demographics
NPI:1215054382
Name:COLE-MORTON, GLADYS S (HSA)
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:S
Last Name:COLE-MORTON
Suffix:
Gender:F
Credentials:HSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 SPRINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-4048
Mailing Address - Country:US
Mailing Address - Phone:803-397-4628
Mailing Address - Fax:803-397-4628
Practice Address - Street 1:408 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-4048
Practice Address - Country:US
Practice Address - Phone:803-397-4628
Practice Address - Fax:803-397-4628
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health