Provider Demographics
NPI:1285761650
Name:ADDCARE COUNSELING, INC.
Entity type:Organization
Organization Name:ADDCARE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:TOLLISON
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-467-1319
Mailing Address - Street 1:413 VARDRY STREET
Mailing Address - Street 2:#7
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601
Mailing Address - Country:US
Mailing Address - Phone:864-467-1319
Mailing Address - Fax:864-467-0241
Practice Address - Street 1:413 VARDRY STREET
Practice Address - Street 2:#7
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601
Practice Address - Country:US
Practice Address - Phone:864-467-1319
Practice Address - Fax:864-467-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCOTO-083101Y00000X
SCOTP-083101YA0400X
SC4357101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty