# HEALING BEYOND IMPERFECTIONS LLC

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

## Provider details

- **NPI number:** 1962233411
- **Authorized official:** KWANIS S CARLOS LCSW, LISW-CP (OWNER)
- **Authorized official phone:** (404) 593-8866

## Contact information

- **Practice address:** 513 RICHFIELD WAY, SUMMERVILLE, SC 29486-2490
- **Practice address phone:** (800) 811-0723
- **Mailing address:** 513 RICHFIELD WAY, SUMMERVILLE, SC 29486-2490

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2024
- **Last updated:** 08/08/2024