Organization
CREATIVE HEART MOVEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA THANDROYEN LISW-CP (COUNSELOR)
(864) 234-1150
Entity
Organization
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 234-1150
Mailing address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 234-1150
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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