Organization
STEWART BEHAVIORAL HEALTH
Active
Other names
Martha K Stewart, Stewart Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA KAY STEWART LPC (OWNER)
(843) 407-5419
Entity
Organization
Contact information
Practice address
525 S DARGAN ST, FLORENCE, SC 29506-2549
(843) 407-5419
(843) 407-7274
Mailing address
525 S DARGAN ST, FLORENCE, SC 29506-2549
(843) 407-5419
(843) 407-7274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP794Z
—
SC
Enumeration date
02/03/2017
Last updated
06/16/2020
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