Organization
LEADS WAY THERAPEUTIC SERVICES
Active
Other names
LEADS WAY THERAPEUTIC SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTREANA ROMANDA SINGLETON-GRANT (CEO)
(843) 476-3260
Entity
Organization
Contact information
Practice address
11382 N JACOB SMART BLVD STE D, RIDGELAND, SC 29936-2700
(843) 441-9415
(843) 305-6107
Mailing address
186 DOGWOOD ST, RIDGELAND, SC 29936-6112
(843) 476-3260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
207R00000X
Internal Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
04/06/2022
Last updated
01/30/2024
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