Organization
PBA COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA FARR-GOODWIN LISW-CP (OWNER)
(839) 292-3902
Entity
Organization
Contact information
Practice address
34 GAITED ACRES LN, BLYTHEWOOD, SC 29016-5713
(839) 292-3902
Mailing address
9153 TWO NOTCH RD STE C11, COLUMBIA, SC 29223-5853
(839) 292-3902
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/01/2026
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