| NPI | 1578100301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL L COLEY Owner, Lpc 803-386-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-02-19 |