Organization
NORTH PALM COUNSELING CENTER, LLC
Active
Parent organization
NORTH PALM COMMUNITY CHURCH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH PALM COMMUNITY CHURCH
Authorized official
KELLI KENNEDY M.ED, LPC (CLINICAL DIRECTOR)
(843) 225-7884
Entity
Organization
Contact information
Practice address
7138 CROSS COUNTY RD STE C, NORTH CHARLESTON, SC 29418-3328
(843) 225-7884
(843) 225-4768
Mailing address
7167 BRYHAWKE CIR STE B, NORTH CHARLESTON, SC 29418-3341
(843) 225-7884
(843) 225-4768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/30/2020
Last updated
01/15/2021
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