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Organization
BELLA VITA PSYCHOTHERAPY GROUP, LLC
Active
Organization
BELLA VITA PSYCHOTHERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA GAROFANO (MANAGING MEMBER)
(803) 201-3537
Entity
Organization
Contact information
Practice address
498 WANDO PARK BLVD., SUITE 1003, MOUNT PLEASANT, SC 29464
(803) 201-3537
Mailing address
498 WANDO PARK BLVD., SUITE 1003, MOUNT PLEASANT, SC 29464
(843) 608-0291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
01/15/2025
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