Organization
EQUINE INTERVENTION, LLC
Active
Other names
Palmetto Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ALEXANDER LYNN M.S., LPC, NCC, CACI (OWNER/EXECUTIVE DIRECTOR)
(843) 453-9985
Entity
Organization
Contact information
Practice address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 453-9985
Mailing address
1415 BALLENTINE AVE, HARTSVILLE, SC 29550-5003
(843) 453-9985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CERTIFIED
SC
101YM0800X
Mental Health Counselor
5487
SC
101YP2500X
Professional Counselor
Primary
5487
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1259
—
SC
Enumeration date
09/29/2009
Last updated
07/09/2013
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