Kintsugi Therapeutic Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in Greenville, SC. Organization (NPI-2).
NPI number1982206553
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1982206553
- Entity type
- Organization (NPI-2)
- Legal business name
- Kintsugi Therapeutic Services
- Organization subpart
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
151 Mitchell Rd Apt L4Greenville, SC 29615-2660
Phone 864-747-0678
Mailing address
151 Mitchell Rd Apt L4Greenville, SC 29615-2660
Phone 864-747-0678
Authorized official
Monika L Scott-Rogers
Owner
8647470678
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