Organization
WELLSPRING COUNSELING SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE MOORE LPC (OWNER)
(803) 743-5098
Entity
Organization
Contact information
Practice address
6156 SAINT ANDREWS RD STE 105, COLUMBIA, SC 29212-3147
(803) 743-5098
(866) 718-3107
Mailing address
813 LEYLAND CYPRESS CT, BLYTHEWOOD, SC 29016-7647
(803) 743-5098
(866) 718-3107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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