| NPI | 1891559860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DOUGLAS HART Lmfts 864-621-9475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 221700000X Art Therapist | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-05-13 |