# MBS HEALTH & WELLNESS SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1669925681
- **Authorized official:** SHUKAIRO TOWNSEND LCSW, LCAS (PRESIDENT)
- **Authorized official phone:** (980) 474-7757

## Contact information

- **Practice address:** 331 E MAIN ST, SUITE 204, ROCK HILL, SC 29730-5383
- **Practice address phone:** (980) 474-7757
- **Mailing address:** 331 E MAIN ST, SUITE 204, ROCK HILL, SC 29730-5383
- **Mailing address phone:** (980) 474-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | L0215 | NC | — |
| 1041C0700X | Clinical Social Worker | C008389 | NC | — |
| 1041C0700X | Clinical Social Worker | CP-11094 | SC | Yes |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 07/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1659666444 | — | NC |