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Organization

AWAKENING YOUR LIFE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE LOUISE MCKENNY (OWNER/LPC)
(803) 968-5196
Entity
Organization

Contact information

Practice address
101 RICE BENT WAY STE 11, COLUMBIA, SC 29229-6850
(803) 807-2795
Mailing address
961 ROBERTS BRANCH PKWY - SUITE 106, PMB# 221, COLUMBIA, SC 29203
(803) 968-5196

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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