Organization
PLAY THERAPY CENTER OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH GERVAIS MILLER LPC (THERAPIST/OWNER)
(843) 580-7529
Entity
Organization
Contact information
Practice address
1037 CHUCK DAWLEY BLVD STE D-209, MOUNT PLEASANT, SC 29464-4146
(843) 580-7529
Mailing address
875 RIVER RD, JOHNS ISLAND, SC 29455-8730
(843) 822-9879
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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