Provider Demographics
NPI:1487759940
Name:FIRST PRESBYTERIAN CHURCH COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:FIRST PRESBYTERIAN CHURCH COUNSELING CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:BARBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD , LPC
Authorized Official - Phone:803-779-1995
Mailing Address - Street 1:1500 LADY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3402
Mailing Address - Country:US
Mailing Address - Phone:803-779-1995
Mailing Address - Fax:180-377-9788
Practice Address - Street 1:1500 LADY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3402
Practice Address - Country:US
Practice Address - Phone:803-779-1995
Practice Address - Fax:180-377-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization