Organization
EMPOWERING MINDS EARLY INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRICKET DIANNA PORTER (OWNER)
(843) 639-3225
Entity
Organization
Contact information
Practice address
1209 TISON DR, HARTSVILLE, SC 29550-7825
(843) 639-3225
Mailing address
1209 TISON DR, HARTSVILLE, SC 29550-7825
(843) 639-3225
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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