Organization
DESTINATION FORTIFIED COUNSELING & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLETTE D BURNETTE LISW-CP (CLINICIAN)
(803) 238-6856
Entity
Organization
Contact information
Practice address
114 HOLSTEIN LN, COLUMBIA, SC 29209-5089
(803) 238-6856
Mailing address
114 HOLSTEIN LN, COLUMBIA, SC 29209-5089
(803) 238-6856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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