Organization
EXECUTIVE COUNSELING OF TEGA CAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILDRED BENNETT TILLMAN LCMHC-S, LPC (OWNER, CLINICAL DIRECTOR)
(704) 388-2710
Entity
Organization
Contact information
Practice address
3921 CALIPER PL, FORT MILL, SC 29708-8380
(803) 487-6837
Mailing address
3921 CALIPER PL, FORT MILL, SC 29708-8380
(704) 388-2710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
11/20/2024
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