Basic Information
Provider Information
NPI: 1225294515
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAPOLI
FirstName: CONSTANCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 524 DOCTORS CT
Address2:  
City: CHESTER
State: SC
PostalCode: 297068644
CountryCode: US
TelephoneNumber: 8035818311
FaxNumber: 8033297141
Practice Location
Address1: 223 E MAIN ST
Address2: SUITE 300
City: ROCK HILL
State: SC
PostalCode: 297304571
CountryCode: US
TelephoneNumber: 8033289600
FaxNumber: 8033297141
Other Information
ProviderEnumerationDate: 08/06/2008
LastUpdateDate: 08/06/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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