Provider Demographics
NPI:1982436226
Name:LOPEZ COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:LOPEZ COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC LAC ADC
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LAC ADC
Authorized Official - Phone:864-999-8957
Mailing Address - Street 1:30 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1927
Mailing Address - Country:US
Mailing Address - Phone:864-999-8957
Mailing Address - Fax:
Practice Address - Street 1:30 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1927
Practice Address - Country:US
Practice Address - Phone:864-999-8957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty