NPI | 1750184719 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE D STOVER Owner/ Therapist 803-972-9877 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
171M00000X Case Manager/Care Coordinator | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-03-27 |
Last Update Date | 2025-03-27 |