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Organization

SEEDS OF LIFE

Active
Other names
Life Resources
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARBARA S. BOATWRIGHT PH. D. (OWNER)
(843) 884-3888
Entity
Organization

Contact information

Practice address
890 JOHNNIE DODDS BLVD., BLDG. 3, SUITE A, MT. PLEASANT, SC 29464
(843) 884-3888
(843) 884-3888
Mailing address
890 JOHNNIE DODDS BLVD, BLDG. 3, SUITE A, MT. PLEASANT, SC 29464
(843) 884-3888
(843) 884-8124

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
20000162
SC
101YP2500X
Professional Counselor
Primary
20000162
SC
103TB0200X
Cognitive & Behavioral Psychologist
20000162
SC
103TC0700X
Clinical Psychologist
20000162
SC
103TC1900X
Counseling Psychologist
20000162
SC
103TC2200X
Clinical Child & Adolescent Psychologist
20000162
SC
103TF0000X
Family Psychologist
20000162
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
20000162
SC
103TP2701X
Group Psychotherapy Psychologist
20000162
SC
103TS0200X
School Psychologist
20000162
SC
106H00000X
Marriage & Family Therapist
20000162
SC

Other

Enumeration date
05/18/2010
Last updated
01/15/2015
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