Organization
BLEND INTEGRATIVE THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL L CONWAY LISW-CP (OWNER/OPERATOR)
(843) 991-1543
Entity
Organization
Contact information
Practice address
162 TWO POND LOOP, LADSON, SC 29456-6916
(843) 284-3997
Mailing address
1318 N MAIN ST # M19210, SUMMERVILLE, SC 29483-7308
(843) 284-3997
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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