Provider Demographics
NPI:1699447409
Name:OPTIMISTIC SOLUTIONS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:OPTIMISTIC SOLUTIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-823-6940
Mailing Address - Street 1:815 SAVANNAH HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7350
Mailing Address - Country:US
Mailing Address - Phone:843-823-6940
Mailing Address - Fax:843-531-9240
Practice Address - Street 1:815 SAVANNAH HWY STE 101
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7350
Practice Address - Country:US
Practice Address - Phone:843-823-6940
Practice Address - Fax:843-531-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty