| Mending Fences Therapeutic Services | |
|
358 Nina Lee Dr Columbia SC 29203-1812 | |
| (803) 351-8221 | |
| Not Available |
| Full Name | Mending Fences Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 358 Nina Lee Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Alysee Christine Jones (MANAGING PARTNER) |
| Authorized Official Contact | 8033518221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Fences Therapeutic Services 358 Nina Lee Dr Columbia SC 29203-1812 Ph: (803) 351-8221 | Mending Fences Therapeutic Services 358 Nina Lee Dr Columbia SC 29203-1812 Ph: (803) 351-8221 |
| NPI Number | 1992250815 |
|---|---|
| Provider Enumeration Date | 08/20/2016 |
| Last Update Date | 08/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992250815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9100 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 6374 (South Carolina) | Primary |
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