Organization
MR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH RUGULEISKI LPC (OWNER)
(803) 240-1967
Entity
Organization
Contact information
Practice address
3800 FOREST DR STE A205, COLUMBIA, SC 29204-4146
(803) 542-9603
Mailing address
246 COLUMBIA CLUB DR E, BLYTHEWOOD, SC 29016-9479
(803) 240-1967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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