Organization
RENEWAL LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA HOUSTON-HAMILTON LISW-CP (CLINICAL SOCIAL WORKE)
(864) 416-4560
Entity
Organization
Contact information
Practice address
522 GLENLEA LN, GREENVILLE, SC 29617-1240
(864) 416-4560
(864) 236-7311
Mailing address
522 GLENLEA LN, GREENVILLE, SC 29617-1240
(864) 416-4560
(864) 236-7311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8450
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1252
—
SC
Enumeration date
09/14/2015
Last updated
09/14/2015
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