| NPI | 1437195963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILLIS SNELL Owner 803-251-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 4056) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SC 4056) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4056) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-09-29 |