Organization
CHANGING STRIDES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE N. HERBERT LCSW (MENTAL HEALTH THERAPIST)
(404) 944-0810
Entity
Organization
Contact information
Practice address
123 LOBLOLLY PINE DR., SENECA, SC 29678
(404) 944-0810
Mailing address
123 LOBLOLLY PINE DR., SENECA, SC 29678
(404) 944-0810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW.10528-CP
SC
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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