Individual
SHELBIE BROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 EBENEZER RD STE 101, ROCK HILL, SC 29732-2774
(803) 619-9055
Mailing address
122 SIOUX CT, SUMMERVILLE, SC 29483-9264
(843) 729-9820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11154
SC
Other
Enumeration date
07/25/2022
Last updated
11/25/2025
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