Organization
SISTAS OF ENCOURAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANIECE AJAVON MA, LPC-A (CEO)
(843) 999-5525
Entity
Organization
Contact information
Practice address
2405 FARMWOOD CIR, CONWAY, SC 29527-3128
(843) 999-5525
Mailing address
PO BOX 1531, CONWAY, SC 29528-1531
(843) 999-5525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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