Organization
MBS HEALTH & WELLNESS SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUKAIRO TOWNSEND LCSW, LCAS (PRESIDENT)
(980) 474-7757
Entity
Organization
Contact information
Practice address
331 E MAIN ST, SUITE 204, ROCK HILL, SC 29730-5383
(980) 474-7757
Mailing address
331 E MAIN ST, SUITE 204, ROCK HILL, SC 29730-5383
(980) 474-7757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
L0215
NC
1041C0700X
Clinical Social Worker
C008389
NC
1041C0700X
Clinical Social Worker
Primary
CP-11094
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659666444
—
NC
Enumeration date
07/26/2016
Last updated
07/26/2016
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