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Organization
CORAZON OF SOUTH CAROLINA, LLC
Active
Organization
CORAZON OF SOUTH CAROLINA, LLC
Active
Other names
Corazon of Columbia, Corazon Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KOCAK LISW-CP (OWNER)
(614) 551-5760
Entity
Organization
Contact information
Practice address
1631 MAIN ST FL 2, COLUMBIA, SC 29201-2817
(803) 567-1217
Mailing address
1631 MAIN ST FL 2, COLUMBIA, SC 29201-2817
(803) 567-1217
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/25/2021
Last updated
09/11/2025
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