Organization
SAFE HARBOR BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY REDDOUT MA, LPC (OWNER, COUNSELOR)
(843) 469-0935
Entity
Organization
Contact information
Practice address
302A MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(843) 469-0935
(509) 479-4389
Mailing address
302A MIDLAND PKWY, SUMMERVILLE, SC 29485-8102
(509) 479-4389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6274
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1614
—
SC
Enumeration date
04/24/2017
Last updated
04/24/2017
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