Organization
BLUFFTON OKATIE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH DIOTALEVI LISW-CP (ADMINISTRATOR)
(843) 636-5017
Entity
Organization
Contact information
Practice address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 206-0256
Mailing address
61 RIVERWALK BLVD STE H, RIDGELAND, SC 29936-3252
(843) 636-5017
(843) 206-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11563
SC
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG1073
—
SC
Enumeration date
12/22/2017
Last updated
10/24/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up