Organization
YOUR PATH COUNSELING AND CONSULTING INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE WOOD LPC (OWNER)
(803) 369-8124
Entity
Organization
Contact information
Practice address
1612 MARION ST STE 213, COLUMBIA, SC 29201-2939
(803) 369-8124
Mailing address
PO BOX 25186, COLUMBIA, SC 29224-5186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063001592
INSURANCE
SC
Enumeration date
07/22/2021
Last updated
07/22/2021
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