| Personal Healing And Mentoring | |
|
8887 Old University Blvd North Charleston SC 29406-7123 | |
| (843) 619-8872 | |
| Not Available |
| Full Name | Personal Healing And Mentoring |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8887 Old University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Travis Thompson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8436198872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Healing And Mentoring 109 Hickory Ridge Way Summerville SC 29483-9759 Ph: () - | Personal Healing And Mentoring 8887 Old University Blvd North Charleston SC 29406-7123 Ph: (843) 619-8872 |
| NPI Number | 1699406363 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699406363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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