Provider Demographics
NPI:1396874947
Name:PYRAMID COUNSELING SERVICES CORP
Entity type:Organization
Organization Name:PYRAMID COUNSELING SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PYRAMID COUNSELING SVR CO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADLAI
Authorized Official - Middle Name:CORNWELL
Authorized Official - Last Name:HOLLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MDIR DMIN LPC LMFT
Authorized Official - Phone:843-821-6532
Mailing Address - Street 1:204 TRESTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-1824
Mailing Address - Country:US
Mailing Address - Phone:843-821-6532
Mailing Address - Fax:843-873-8728
Practice Address - Street 1:204 TRESTLEWOOD DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-1824
Practice Address - Country:US
Practice Address - Phone:843-821-6532
Practice Address - Fax:843-873-8728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty