Acting Out Loud Therapy, LLC
Counselor, Professional in Mt Pleasant, SC. Organization (NPI-2).
NPI number1730917675
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1730917675
- Entity type
- Organization (NPI-2)
- Legal business name
- Acting Out Loud Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1156 Bowman Rd Unit 207Mt Pleasant, SC 29464-3858
Phone 818-442-9055
Mailing address
1050 Johnnie Dodds Blvd Unit 1283Mt Pleasant, SC 29465-2862
Phone 818-442-9055
Authorized official
Shanta Payne
Owner/Clinician
8184429055
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