Organization
PATHS TO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY YVONNE WRIGHT LBSW, M.ED., LPC (CLINICAL DIRECTOR)
(864) 293-1406
Entity
Organization
Contact information
Practice address
305 HUDDERS CREEK WAY, SIMPSONVILLE, SC 29680-3566
(864) 293-1406
(864) 757-9329
Mailing address
305 HUDDERS CREEK WAY, SIMPSONVILLE, SC 29680-3566
(864) 293-1406
(864) 757-9329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5580
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5580
SC
101YP2500X
Professional Counselor
5580
SC
101YS0200X
School Counselor
29013
SC
104100000X
Social Worker
7318
SC
251B00000X
Case Management Agency
7318
SC
251S00000X
Community/Behavioral Health Agency
5580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1269
—
SC
Enumeration date
07/19/2014
Last updated
07/19/2014
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