Organization
MIMI METCALFE, M.ED.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIMI B METCALFE M.ED. LPC (SOLE OWNER)
(864) 654-7858
Entity
Organization
Contact information
Practice address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 654-7858
(864) 654-7972
Mailing address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 654-7858
(864) 654-7972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1970
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
SC
01
—
1821180092
NPI PERSONAL
SC
Enumeration date
05/15/2007
Last updated
08/22/2020
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