Organization
PALMETTO MOON COUNSELING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANDA SHELLEY STRICKLAND LPC (OWNER)
(843) 421-5236
Entity
Organization
Contact information
Practice address
6920 HIGHWAY 76, NICHOLS, SC 29581-5334
(843) 421-5236
Mailing address
5445 HINSONS CROSSROADS, FAIR BLUFF, NC 28439
(843) 421-5236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4731
SC
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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