Organization
EMERGE ESSENTIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE G DRAYTON LPCS, CSPC, CSSC (LICENSED PROFESSIONAL COUNSELOR/CEO)
(803) 238-5063
Entity
Organization
Contact information
Practice address
1612 MARION ST, SUITE 313, COLUMBIA, SC 29201-2939
(803) 298-8356
Mailing address
1612 MARION ST, SUITE 313, COLUMBIA, SC 29201-2939
(803) 298-8356
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5337
SC
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
5337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1160
—
SC
Enumeration date
07/07/2016
Last updated
07/07/2016
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