NPI 1952614653

Potential Counseling Service

Organisation Community/Behavioral Health Agency Conway, SC

Practice location

Address: 8377 Huntington CT, Conway, SC 29527-7989
Phone: (843) 283-4132
Mailing address: 8377 Huntington CT PO Box 1376, Conway, SC 29527-7989

Authorised official

Name: Elasha Lavone Leary
Title: Executive Director
Phone: (843) 283-4132

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in South Carolina →

Registry record

NPI: 1952614653
Entity type: Organization
NPI issued: 22 Jul 2010
Record last updated: 22 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.