| NPI | 1992459044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BURGETT Director, Practice Operations 843-531-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171400000X Health & Wellness Coach | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |