Organization
CONNECTED PRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAMETRIS BLOUNT PHD, LPC (OWNER)
(803) 336-1089
Entity
Organization
Contact information
Practice address
118 ACADEMY STREET, FORT MILL, SC 29715
(803) 336-1089
Mailing address
3160 HWY 21, SUITE 103 #19, FORT MILL, SC 29715
(803) 336-1089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5370
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701007567
LICENSED PROFESSIONAL COUNSELOR
VA
01
—
5370
LICENSED PROFESSIONAL COUNSELOR
SC
05
—
6115105
—
NC
01
—
6401016479
LICENSED PROFESSIONAL COUNSELOR
MI
01
—
8855
LICENSED PROFESSIONAL COUNSELOR
NC
01
—
C.1801012
LICENSED PROFESSIONAL COUNSELOR
OH
01
—
LPC010060
LICENSED PROFESSIONAL COUNSELOR
GA
05
—
PC1370
—
SC
Enumeration date
02/23/2015
Last updated
06/29/2020
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