Organization
INTEGRATIVE MENTAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL TROY PHARIS LPC, LAC (PARTNER/OWNER)
(803) 272-9593
Entity
Organization
Contact information
Practice address
540 SAINT ANDREWS RD STE 215, COLUMBIA, SC 29210-4500
(803) 272-9593
Mailing address
3101 PETIGRU ST, COLUMBIA, SC 29204-3619
(803) 272-9593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1424
—
SC
Enumeration date
02/22/2019
Last updated
02/22/2019
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