| Rediscovery, Llc | |
|
253 Hart St Columbia SC 29203-5417 | |
| (843) 338-5205 | |
| (803) 753-0115 |
| Full Name | Rediscovery, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 253 Hart St, Columbia, South Carolina |
| Authorized Official Name and Position | Leanna Iry Gordon (OWNER) |
| Authorized Official Contact | 8433385205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediscovery, Llc 253 Hart St Columbia SC 29203-5417 Ph: (843) 338-5205 | Rediscovery, Llc 253 Hart St Columbia SC 29203-5417 Ph: (843) 338-5205 |
| NPI Number | 1992276778 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992276778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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