| Equilibrium Llc | |
|
701 Gervais St Ste 150-258 Columbia SC 29201-3066 | |
| (803) 361-3066 | |
| (866) 834-4286 |
| Full Name | Equilibrium Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 701 Gervais St, Columbia, South Carolina |
| Authorized Official Name and Position | Wendy K Graham (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 18033613066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium Llc 1821 Pickens St Columbia SC 29201-2630 Ph: (803) 361-3066 | Equilibrium Llc 701 Gervais St Ste 150-258 Columbia SC 29201-3066 Ph: (803) 361-3066 |
| NPI Number | 1013135433 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013135433 | NPI | - | NPPES |
| 1730137456 | Other | SC | NPI LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4644 (South Carolina) | Primary |
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