Organization
HAVEN CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L. MART PMHNP-BC (NURSE PRACTITIONER)
(843) 276-6749
Entity
Organization
Contact information
Practice address
3575 N HIGHWAY 17, MOUNT PLEASANT, SC 29466-9174
(843) 276-6749
Mailing address
18 SEAGRASS LN, ISLE OF PALMS, SC 29451-3853
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
368
SC
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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