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Organization

ABLE SOUTH CAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY TISSOT (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(803) 779-5121
Entity
Organization

Contact information

Practice address
720 GRACERN RD STE 106, COLUMBIA, SC 29210-7658
(803) 779-5121
Mailing address
720 GRACERN RD STE 106, COLUMBIA, SC 29210-7658
(803) 779-5121

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
Primary
225C00000X
Rehabilitation Counselor
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
11/12/2025
Last updated
11/19/2025
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