Organization
SPRINGS OF LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY L JAMES LISW (OWNER)
(803) 626-6200
Entity
Organization
Contact information
Practice address
1808 SECOND BAXTER XING STE 208, FORT MILL, SC 29708-6492
(803) 626-6200
Mailing address
123 HAWKS CREEK PKWY, FORT MILL, SC 29708-0026
(803) 626-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12751
SC
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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