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Organization

INTEGRATIVE MENTAL HEALTH SOLUTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI TALLEY PC (CLINICIAN)
(706) 755-5324
Entity
Organization

Contact information

Practice address
540 SAINT ANDREWS RD STE 215, COLUMBIA, SC 29210-4500
(803) 626-0712
Mailing address
540 SAINT ANDREWS RD STE 215, COLUMBIA, SC 29210-4581
(803) 626-0712

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
03/30/2019
Last updated
12/26/2019
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