Organization
WOTP COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KESHA BARRINGTON (EXECUTIVE DIRECTOR)
(832) 259-9852
Entity
Organization
Contact information
Practice address
36 HOLYWOODS RD, KINGSTREE, SC 29556-6200
(832) 259-9852
Mailing address
36 HOLYWOODS RD, KINGSTREE, SC 29556-6200
(832) 259-9852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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