# SILVER BIRCH WELLNESS LLC

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

## Provider details

- **NPI number:** 1740912476
- **Authorized official:** MS. REGINA LEE-CARTER LISW-CP (AUTHORIZED OFFICIAL/OWNER)
- **Authorized official phone:** (803) 968-4222

## Contact information

- **Practice address:** 531 OXFORD ST STE C-6, SUMTER, SC 29150-3300
- **Practice address phone:** (803) 968-4222
- **Mailing address:** 531 OXFORD ST STE C-6, SUMTER, SC 29150-3300
- **Mailing address phone:** (803) 968-4222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022