| NPI | 1427403153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HALLEY Owner 864-423-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6185) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4496) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 11511) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-10-11 |