Organization
GIFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SMITH LPC/I; NCC (THERAPIST)
(864) 421-4052
Entity
Organization
Contact information
Practice address
14 MANLY ST, GREENVILLE, SC 29601-3023
(864) 421-4052
Mailing address
14 MANLY ST, GREENVILLE, SC 29601-3023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5982
SC
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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