NPI 1336989938 · live from the CMS NPI Registry
988 South Carolina
Counselor, Mental Health in Charleston, SC. National Provider Identifier 1336989938, active.
NPI record
| NPI | 1336989938 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 2100 Charlie Hall Blvd, Charleston, SC 29414 |
| Practice phone | 843-852-4100 |
| Enumerated | May 30, 2024 |
| Last updated | May 30, 2024 |
| Authorized official | Jasmine Sheridan, Mental Health Professional |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.