# REDISCOVERY, LLC

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

## Provider details

- **NPI number:** 1992276778
- **Authorized official:** MISS LEANNA IRY GORDON LMSW (OWNER)
- **Authorized official phone:** (843) 338-5205

## Contact information

- **Practice address:** 253 HART ST, COLUMBIA, SC 29203-5417
- **Practice address phone:** (843) 338-5205
- **Practice address fax:** (803) 753-0115
- **Mailing address:** 253 HART ST, COLUMBIA, SC 29203-5417
- **Mailing address phone:** (843) 338-5205
- **Mailing address fax:** (803) 753-0115

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2018
- **Last updated:** 12/05/2018
