Organization
DISRUPTIVE THINKING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMA TICSHERA WINSTON-FORD LPC (BUSINESS OWNER)
(843) 437-2836
Entity
Organization
Contact information
Practice address
45 MOULTRIE ST, CHARLESTON, SC 29403-4132
(843) 437-2836
Mailing address
45 MOULTRIE ST, CHARLESTON, SC 29403-4132
(843) 437-2836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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