# MANGUM BEHAVIORAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1861607574
- **Authorized official:** MR. HARRISON MANGUM KISNER MSW, LISW-CP (OWNER)
- **Authorized official phone:** (864) 360-4341

## Contact information

- **Practice address:** 7C CLEVELAND CT, GREENVILLE, SC 29607-2414
- **Practice address phone:** (864) 360-4341
- **Practice address fax:** (864) 239-6968
- **Mailing address:** 7C CLEVELAND CT, GREENVILLE, SC 29607-2414
- **Mailing address phone:** (864) 360-4341
- **Mailing address fax:** (864) 239-6968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 006453 | SC | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 07/27/2009