Organization
MINDSTREAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA H PACITTI MS;LMHC;NCC (DIRECTOR)
(843) 757-2192
Entity
Organization
Contact information
Practice address
11 GRASSEY LN, BLUFFTON, SC 29910-6604
(843) 757-2003
Mailing address
11 GRASSEY LN, BLUFFTON, SC 29910-6604
(843) 757-2003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6634766
NY
101YP2500X
Professional Counselor
Primary
4940
SC
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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