Organization
NEXT PHASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI EVANS LPC (OWNER)
(864) 414-3619
Entity
Organization
Contact information
Practice address
227 DEVON DR, MAULDIN, SC 29662-1915
(864) 414-3619
Mailing address
227 DEVON DR, MAULDIN, SC 29662-1915
(864) 414-3619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528477734
—
SC
Enumeration date
05/06/2021
Last updated
05/06/2021
About Stedi
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