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Organization
STARS OF SC
Active
Organization
STARS OF SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEX WEAVER NELSON (EXECUTIVE DIRECTOR)
(803) 261-8606
Entity
Organization
Contact information
Practice address
780 FASHION DR, SUITE 3103, COLUMBIA, SC 29229-7935
(803) 261-8606
Mailing address
780 FASHION DR, SUITE 3103, COLUMBIA, SC 29229-7935
(803) 261-8606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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