Organization
CROWNS FOR QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLETTE NEWKIRK (OWNER)
(843) 323-8737
Entity
Organization
Contact information
Practice address
213 JEFFERS CIR, ELGIN, SC 29045-9258
(843) 323-8737
Mailing address
10120 TWO NOTCH RD STE 166, COLUMBIA, SC 29223-4395
(803) 999-6803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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