Organization
CORAZON OF SOUTH CAROLINA, LLC
Active
Other names
Corazon of Columbia, Corazon Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KOCAK LISW-CP (OWNER)
(614) 551-5760
Entity
Organization
Contact information
Practice address
1631 MAIN ST FL 2, COLUMBIA, SC 29201-2817
(803) 567-1217
Mailing address
1631 MAIN ST FL 2, COLUMBIA, SC 29201-2817
(803) 567-1217
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
09/11/2025
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