# PHENOMENAL PATHS COUNSELING LLC

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

## Provider details

- **NPI number:** 1932633062
- **Authorized official:** BRITTANY DORN LISW-CP (OWNER)
- **Authorized official phone:** (803) 830-2903

## Contact information

- **Practice address:** 636 PINE RIDGE DR STE E, WEST COLUMBIA, SC 29172-1867
- **Practice address phone:** (803) 830-2903
- **Mailing address:** 636 PINE RIDGE DR STE E, WEST COLUMBIA, SC 29172-1867
- **Mailing address phone:** (180) 372-8559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 10133 | SC | Yes |

## Other

- **Enumeration date:** 04/15/2017
- **Last updated:** 09/06/2023
