# BELLA VITA PSYCHOTHERAPY GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629893201
- **Authorized official:** MARINA GAROFANO (MANAGING MEMBER)
- **Authorized official phone:** (803) 201-3537

## Contact information

- **Practice address:** 498 WANDO PARK BLVD., SUITE 1003, MOUNT PLEASANT, SC 29464
- **Practice address phone:** (803) 201-3537
- **Mailing address:** 498 WANDO PARK BLVD., SUITE 1003, MOUNT PLEASANT, SC 29464
- **Mailing address phone:** (843) 608-0291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2024
- **Last updated:** 01/15/2025