Path To Light Counseling Llc | |
1629 Ruby Rd Hartsville SC 29550-2407 | |
(843) 942-9597 | |
(843) 326-4816 |
Full Name | Path To Light Counseling Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1629 Ruby Rd, Hartsville, South Carolina |
Authorized Official Name and Position | Keri Guest Davis (LICENSED THERAPIST) |
Authorized Official Contact | 8439429597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Path To Light Counseling Llc 1629 Ruby Rd Hartsville SC 29550-2407 Ph: (843) 942-9597 | Path To Light Counseling Llc 1629 Ruby Rd Hartsville SC 29550-2407 Ph: (843) 942-9597 |
NPI Number | 1356171771 |
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Provider Enumeration Date | 08/02/2024 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356171771 | NPI | - | NPPES |
PC1374 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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