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Organization

MIDLAND VALLEY BEHAVIORAL HEALTH & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAY EARLES PSYD (CLINICAL PSYCHOLOGIST)
(803) 380-9004
Entity
Organization

Contact information

Practice address
3524 JEFFERSON DAVIS HWY, GRANITEVILLE, SC 29829
(803) 380-9004
(803) 369-3240
Mailing address
388 BRIDLE PATH RD, NORTH AUGUSTA, SC 29860-9085
(803) 640-5101
(803) 369-3240

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/17/2019
Last updated
04/17/2019
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