| NPI | 1164045134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA BUCHANAN Director, Lpcs, Lpc, Lac 803-565-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP1600X Counselor Pastoral | |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2023-07-21 |