Organization
COASTAL TIDES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA LEE LESCH LISW-CP (OWNER AND PROVIDER)
(843) 670-8954
Entity
Organization
Contact information
Practice address
990 LAKE HUNTER CIR, SUITE 1A, MT PLEASANT, SC 29464-5426
(843) 324-1449
Mailing address
990 LAKE HUNTER CIR, SUITE 1A, MT PLEASANT, SC 29464-5426
(843) 324-1449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6818
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6818
LICENSED INDEPENDENT SOCIAL WORKER CP
SC
Enumeration date
04/26/2012
Last updated
09/05/2012
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