Organization
7 DIMENSIONS OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY HUGHES (SOLE MBR)
(843) 254-7108
Entity
Organization
Contact information
Practice address
500 S KAMINSKI ST, GEORGETOWN, SC 29440-3435
(843) 932-7217
Mailing address
PO BOX 51, GEORGETOWN, SC 29442-0051
(843) 932-7217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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