| 180 Therapy Life Coaching & Consulting, Llc | |
|
331 E Main St Rock Hill SC 29730-5383 | |
| (803) 708-7556 | |
| Not Available |
| Full Name | 180 Therapy Life Coaching & Consulting, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 331 E Main St, Rock Hill, South Carolina |
| Authorized Official Name and Position | Shukairo Mack Baker (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9803098508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 180 Therapy Life Coaching & Consulting, Llc 2431 Enchanto Rd York SC 29745-9795 Ph: (980) 309-8508 | 180 Therapy Life Coaching & Consulting, Llc 331 E Main St Rock Hill SC 29730-5383 Ph: (803) 708-7556 |
| NPI Number | 1194425413 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194425413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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