Provider Demographics
NPI:1972941003
Name:VISION COUNSELING & VOCATIONAL CONSULTING
Entity type:Organization
Organization Name:VISION COUNSELING & VOCATIONAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHADDRICK
Authorized Official - Middle Name:LANEIR
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:CRC, CVE, LPC-I
Authorized Official - Phone:803-563-5087
Mailing Address - Street 1:9367 TWO NOTCH RD
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6442
Mailing Address - Country:US
Mailing Address - Phone:803-563-5087
Mailing Address - Fax:
Practice Address - Street 1:9367 TWO NOTCH RD
Practice Address - Street 2:SUITE F-1
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6442
Practice Address - Country:US
Practice Address - Phone:803-563-5087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC#5466101YP2500X
SC9472104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty