Organization
EMOTIONS 4LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SHORT (EXECUTIVE DIRECTOR)
(843) 623-4305
Entity
Organization
Contact information
Practice address
4149 HWY 38 N, BENNETTSVILLE, SC 29512
(843) 623-4305
Mailing address
PO BOX 181, BENNETTSVILLE, SC 29512-0181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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