NPI 1730917675 · live from the CMS NPI Registry
Acting Out Loud Therapy, LLC
Counselor, Professional in Mt Pleasant, SC. National Provider Identifier 1730917675, active.
NPI record
| NPI | 1730917675 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 1156 Bowman Rd Unit 207, Mt Pleasant, SC 29464 |
| Practice phone | 818-442-9055 |
| Mailing address | 1050 Johnnie Dodds Blvd Unit 1283, Mt Pleasant, SC 29465 |
| Enumerated | July 23, 2024 |
| Last updated | July 23, 2024 |
| Authorized official | Shanta Payne, Owner/Clinician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional primary | 101YP2500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.