| Leadership And Resilience Consultants, Pc | |
|
200 Forest Ridge Dr Fort Mill SC 29715-6418 | |
| (803) 543-7617 | |
| (800) 858-2194 |
| Full Name | Leadership And Resilience Consultants, Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 200 Forest Ridge Dr, Fort Mill, South Carolina |
| Authorized Official Name and Position | Kimberly Lannette Wilson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7047690660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leadership And Resilience Consultants, Pc 15105d John J Delaney Dr Ste 192 Charlotte NC 28277-2741 Ph: (704) 769-0660 | Leadership And Resilience Consultants, Pc 200 Forest Ridge Dr Fort Mill SC 29715-6418 Ph: (803) 543-7617 |
| NPI Number | 1508842923 |
|---|---|
| Provider Enumeration Date | 12/17/2005 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508842923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT000954G (Georgia) | Primary |
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