Organization
SODA CITY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE MORAN LPC (OWNER)
(943) 997-0429
Entity
Organization
Contact information
Practice address
1817 PICKENS ST, COLUMBIA, SC 29201-2630
(803) 393-9710
Mailing address
1817 PICKENS ST, COLUMBIA, SC 29201-2630
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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