Organization
MISS EBONY LPC
Active
Organization
MISS EBONY LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY LANGHORNE (OWNER)
(803) 339-2221
Entity
Organization
Contact information
Practice address
1024 HERIOT ST, MANNING, SC 29102
(803) 339-2221
Mailing address
652 BUSH RIVER RD STE 217, COLUMBIA, SC 29210-7537
(803) 339-2221
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/02/2024
Last updated
06/04/2026
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