| NPI | 1609426360 |
|---|---|
| Former Legal Business Name | LIVING WELL COUNSELING, LLC |
| Entity Type | Organization |
| Authorized Contact | TALISHA L TELSEE Licensed Professional Counselor 803-250-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-01-09 |