Organization
PLAY THERAPY WITH CARMEN
Active
Parent organization
OUTSPOKEN COUNSELING AND CONSULTING LLC
Other names
Carmen JImenez
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUTSPOKEN COUNSELING AND CONSULTING LLC
Authorized official
CARMEN JIMENEZ LISW, LCSW, RPTS (FOUNDER)
(980) 275-2505
Entity
Organization
Contact information
Practice address
300 BERKSHIRE DR STE F, COLUMBIA, SC 29223-1859
(980) 275-2505
Mailing address
PO BOX 8804, COLUMBIA, SC 29202-8804
(980) 275-2505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10478
SC
1041C0700X
Clinical Social Worker
C008505
SC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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