Organization
HEART TO HEART THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN D BANISTER (LICENSED PROFESSIONAL COUNSELOR)
(864) 933-0793
Entity
Organization
Contact information
Practice address
716 ANDERSON ST STE B, BELTON, SC 29627-2148
(864) 933-0793
Mailing address
1613 BETHANY CHURCH RD, BELTON, SC 29627-9112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1336
—
SC
Enumeration date
07/29/2019
Last updated
07/29/2019
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