The Road To Light, Llc | |
117 E Main St Moncks Corner SC 29461-3764 | |
(843) 475-9649 | |
Not Available |
Full Name | The Road To Light, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 117 E Main St, Moncks Corner, South Carolina |
Authorized Official Name and Position | Victoria A Lobeck (OWNER/THERAPIST) |
Authorized Official Contact | 8434759649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Road To Light, Llc 117 E Main St Moncks Corner SC 29461-3764 Ph: (843) 475-9649 | The Road To Light, Llc 117 E Main St Moncks Corner SC 29461-3764 Ph: (843) 475-9649 |
NPI Number | 1831750199 |
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Provider Enumeration Date | 06/26/2019 |
Last Update Date | 06/25/2021 |
Certification Date | 12/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831750199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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