# SANKOFA THERAPEUTIC CONCEPTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sankofa Therapeutic Concepts, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588816870
- **Authorized official:** MS. DONITA P HOLMES LISW-CP (OWNER/CLINICAL CONSULTANT)
- **Authorized official phone:** (803) 207-0993

## Contact information

- **Practice address:** 130 BEN CASEY DR, STE 102, FORT MILL, SC 29708-6567
- **Practice address phone:** (803) 386-3064
- **Practice address fax:** (866) 591-1741
- **Mailing address:** 2879 HIGHWAY 160 W, PMB 4408, FORT MILL, SC 29708-8581
- **Mailing address phone:** (803) 386-3064
- **Mailing address fax:** (866) 591-1741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8780 | SC | — |
| 1041C0700X | Clinical Social Worker | C005480 | NC | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F0704137 | NC | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | 4345 | SC | — |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 06/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6006793 | — | NC |