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Organization
THERAPY RESOURCE GROUP
Active
Organization
THERAPY RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE FOSTER GASKINS M.ED, LPC, LCMHCA (DIRECTOR/CLINICIAN)
(704) 931-1010
Entity
Organization
Contact information
Practice address
117 SPRATT ST STE B, FORT MILL, SC 29715-4111
(704) 931-1010
Mailing address
117 SPRATT ST STE B, FORT MILL, SC 29715-4111
(704) 931-1010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952994683
BCBS
SC
Enumeration date
06/29/2021
Last updated
05/09/2022
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