Provider Demographics
NPI:1679398697
Name:C.O.P.E. WITH JANELLE, LLC
Entity type:Organization
Organization Name:C.O.P.E. WITH JANELLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-230-6175
Mailing Address - Street 1:7825 BROAD RIVER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2375
Mailing Address - Country:US
Mailing Address - Phone:803-830-0639
Mailing Address - Fax:803-921-3300
Practice Address - Street 1:7825 BROAD RIVER RD STE 200
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2375
Practice Address - Country:US
Practice Address - Phone:803-830-0639
Practice Address - Fax:803-921-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty