Organization
PHENOMENAL PATHS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY DORN LISW-CP (OWNER)
(803) 830-2903
Entity
Organization
Contact information
Practice address
636 PINE RIDGE DR STE E, WEST COLUMBIA, SC 29172-1867
(803) 830-2903
Mailing address
636 PINE RIDGE DR STE E, WEST COLUMBIA, SC 29172-1867
(180) 372-8559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10133
SC
Other
Enumeration date
04/15/2017
Last updated
09/06/2023
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