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Organization

PSYCH CISA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CIBELE DO CARMO SANTOS PHD, LPC, MDIV (MENTAL HEALTH COUNSELOR)
(843) 384-4611
Entity
Organization

Contact information

Practice address
60 N MAIN ST UNIT H, HILTON HEAD ISLAND, SC 29926-6603
(843) 384-4611
Mailing address
60 MAIN ST UNIT H, HILTON HEAD ISLAND, SC 29926-6603
(843) 384-4611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/17/2024
Last updated
04/14/2026
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