Provider Demographics
NPI:1346421419
Name:EDUCATIONAL CONSULTING SERVICE, L.L.C.
Entity type:Organization
Organization Name:EDUCATIONAL CONSULTING SERVICE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CONSULTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-349-1202
Mailing Address - Street 1:3 KEITH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-5029
Mailing Address - Country:US
Mailing Address - Phone:864-349-1202
Mailing Address - Fax:877-551-8536
Practice Address - Street 1:3 KEITH AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-5029
Practice Address - Country:US
Practice Address - Phone:864-349-1202
Practice Address - Fax:877-551-8536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEXG305Medicaid