Organization
MIKES HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
(912) 373-4385
Entity
Organization
Contact information
Practice address
454 ANDERSON RD S STE 225, ROCK HILL, SC 29730-3398
(704) 906-1430
Mailing address
7700 DELUCA DR, CHARLOTTE, NC 28215-5314
(704) 906-1430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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