Organization
THE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SMITH (PRESIDENT)
(704) 757-8492
Entity
Organization
Contact information
Practice address
600 KERSHAW ST, LANCASTER, SC 29720-2822
(704) 575-8491
Mailing address
600 KERSHAW ST, LANCASTER, SC 29720-2822
(704) 575-8491
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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