Organization
PAULA FLEMING
Active
Other names
Behavior Balance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA FLEMING LPC, LPHA (LICENSED INDEPENDENT PRACTITIONER)
(843) 756-7171
Entity
Organization
Contact information
Practice address
586 HIGHWAY 701 N, A, LORIS, SC 29569-2473
(843) 756-7171
(843) 756-7176
Mailing address
586 HIGHWAY 701 N, A, LORIS, SC 29569-2473
(843) 756-7171
(843) 756-7176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1050
NC
101YP2500X
Professional Counselor
Primary
5489
SC
101YP2500X
Professional Counselor
S4500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410166
—
NC
05
—
6005440
—
NC
05
—
6102664
—
NC
Enumeration date
06/19/2015
Last updated
06/19/2015
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