Organization
RANDALL COUNSELING AND THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENITA CATRICE RANDALL (MENTAL HEALTH CLINICAL COUNSELOR)
(704) 561-1913
Entity
Organization
Contact information
Practice address
1019 HIGHWAY 17 S, SUITE 109, NORTH MYRTLE BEACH, SC 29582-3702
(803) 701-9693
Mailing address
PO BOX 924, NORTH MYRTLE BEACH, SC 29597-0924
(803) 701-9693
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
01/06/2016
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