Organization
INTEGRATED TRAUMA THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULETTE MUNI PH.D. (PRESIDENT)
(803) 462-1313
Entity
Organization
Contact information
Practice address
9711 GARNERS FERRY RD, HOPKINS, SC 29061-9148
(803) 462-1313
Mailing address
PO BOX 23794, COLUMBIA, SC 29224-3794
(803) 462-1313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
1007
SC
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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