Organization
MIDLANDS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROBERTS LISW-CP (OWNER)
(803) 720-9151
Entity
Organization
Contact information
Practice address
528 BROAD ST STE 101, SUMTER, SC 29150-3368
(803) 720-9151
Mailing address
25 KILLARNEY LN, SUMTER, SC 29150-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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