Mended Therapy Group | |
108 Central Ave Ste 5 Goose Creek SC 29445-3079 | |
(803) 450-6479 | |
Not Available |
Full Name | Mended Therapy Group |
---|---|
Speciality | Counselor - Mental Health |
Location | 108 Central Ave Ste 5, Goose Creek, South Carolina |
Authorized Official Name and Position | Mccrae Carroll (THERAPIST) |
Authorized Official Contact | 8034506479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mended Therapy Group 108 Central Ave Ste 5 Goose Creek SC 29445-3079 Ph: () - | Mended Therapy Group 108 Central Ave Ste 5 Goose Creek SC 29445-3079 Ph: (803) 450-6479 |
NPI Number | 1124807847 |
---|---|
Provider Enumeration Date | 09/22/2023 |
Last Update Date | 09/22/2023 |
Certification Date | 09/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124807847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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