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SOARING MINDS EVALUATIONS AND SUPPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUILYN GAITHER ED.S, LPES (LICENSED PSYCHO-ED SPECIALIST)
(843) 474-6560
Entity
Organization

Contact information

Practice address
281 PEMBERLY BLVD, SUMMERVILLE, SC 29486-7780
(843) 474-6560
Mailing address
281 PEMBERLY BLVD, SUMMERVILLE, SC 29486-7780
(412) 719-4839

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
10/29/2025
Last updated
10/29/2025
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