| 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 |