Organization
CAROLINA COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D. MALONE M.D. (PRESIDENT)
(803) 779-7500
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 4H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Mailing address
1333 TAYLOR ST, SUITE 4H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
17355
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173555
—
SC
Enumeration date
05/16/2008
Last updated
06/06/2008
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