Coastal Tides Counseling
Counselor, Mental Health in Mt Pleasant, SC. Organization (NPI-2).
NPI number1831457985
StatusActive
Last updated in NPPESSep 5, 2012
Details
- NPI
- 1831457985
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Tides Counseling
- Organization subpart
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Sep 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 6818 | SC | Yes |
Practice location
990 Lake Hunter CirSuite 1a
Mt Pleasant, SC 29464-5426
Phone 843-324-1449
Mailing address
990 Lake Hunter CirSuite 1a
Mt Pleasant, SC 29464-5426
Phone 843-324-1449
Authorized official
Julia Lee Lesch
Owner And Provider
8436708954
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