Organization
WATERFALL WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN JOHNSON LPCA, NCC (CEO)
(843) 666-2858
Entity
Organization
Contact information
Practice address
89 OLD TROLLEY RD STE 105, SUMMERVILLE, SC 29485-4957
(843) 666-2858
Mailing address
89 OLD TROLLEY RD STE 105, SUMMERVILLE, SC 29485-4957
(843) 666-2858
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
02/19/2024
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