| NPI | 1386136687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BENJAMIN Owner/Counselor/Therapist 803-622-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6522) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 6522) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2019-02-03 |