Organization
OUTSPOKEN COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN JIMENEZ LCSW, LISW (CLINICAL DIRECTOR)
(980) 275-2505
Entity
Organization
Contact information
Practice address
9005 TWO NOTCH RD, SUITE 33, COLUMBIA, SC 29223-5850
(803) 386-9536
Mailing address
PO BOX 8804, COLUMBIA, SC 29202-8804
(704) 222-2810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1128
—
SC
Enumeration date
07/08/2014
Last updated
04/17/2015
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