NPI | 1619507241 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LEWIS Licensed Professional Counselor 843-469-1252 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-01-23 |
Last Update Date | 2020-10-12 |