Organization
CHARLESTON MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LAUDERDALE LPC (OWNER, THERAPIST)
(843) 367-3490
Entity
Organization
Contact information
Practice address
25 CUMBERLAND ST STE 120, CHARLESTON, SC 29401-2039
(843) 367-3490
Mailing address
25 CUMBERLAND ST STE 120, CHARLESTON, SC 29401-2039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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