Organization
TRIPLE MOON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ANDERSON LPC, LAC (OWNER)
(864) 275-5809
Entity
Organization
Contact information
Practice address
211 W TRADE ST, SIMPSONVILLE, SC 29681-2609
(864) 907-9159
Mailing address
307 HYDE PARK LN, MAULDIN, SC 29662-3174
(864) 275-5809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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