Organization
RENEW COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL MA, LPC/S (ORGANIZER)
(803) 528-8939
Entity
Organization
Contact information
Practice address
2611 RIVER DR, COLUMBIA, SC 29201-1749
(803) 528-8939
Mailing address
2611 RIVER DRIVE, COLUMBIA, SC 29201
(803) 528-8939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4355
SC
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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