Wellformed AI

NPI 1033598099 · live from the CMS NPI Registry

Vanessa Boatright, MSW

Counselor in Manning, SC. National Provider Identifier 1033598099, active.

NPI record

NPI1033598099 Type 1 · individual
StatusActive
Primary specialtyCounselor 101Y00000X
Practice location1931 Baggette Rd, Manning, SC 29102
Practice phone843-615-3812
EnumeratedMay 23, 2015
Last updatedMay 23, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor primary101Y00000XP008697 (NC)
Psychoanalyst102L00000XP008697 (NC)
Behavior Analyst103K00000XP008697 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.