Organization
MAYA RAKE, LISW-CP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA LYNTON RAKE LISW-CP (OWNER)
(803) 605-9956
Entity
Organization
Contact information
Practice address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Mailing address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
10/03/2022
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