Provider Demographics
NPI:1528273042
Name:FRANKLIN SQUARE COUNSELING CENTER
Entity type:Organization
Organization Name:FRANKLIN SQUARE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAINES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-859-0101
Mailing Address - Street 1:101 FRANKLIN SQUARE WAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642
Mailing Address - Country:US
Mailing Address - Phone:864-859-0101
Mailing Address - Fax:864-306-8188
Practice Address - Street 1:101 FRANKLIN SQUARE WAY
Practice Address - Street 2:SUITE B
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642
Practice Address - Country:US
Practice Address - Phone:864-859-0101
Practice Address - Fax:864-306-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3520101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC=========OtherTAX IDENTIFICATION NUMBER