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NPI 1295530566 · Mental Health Counselor · Conway, SC
Provider details
- NPI number
- 1295530566
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 234-8071
Fax: (843) 347-4102
Approximate (ZIP-level) locationGet directions
Mailing address
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Registry dates
- Enumerated
- 2025-02-19
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.