Organization
SACRED GROVE COUNSELING & HEALING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENNDY DUPKOSKI PHD, LPC-S, LPC, NCC (COUNSELOR)
(803) 210-7422
Entity
Organization
Contact information
Practice address
114 N CHURCH ST, LEXINGTON, SC 29072-2808
(803) 210-7422
Mailing address
114 N CHURCH ST, LEXINGTON, SC 29072-2808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/03/2022
Last updated
02/06/2022
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