Organization
THE THRIVING PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVON JENKINS LPC, LAC (COUNSELOR/ THERAPIST)
(843) 379-0545
Entity
Organization
Contact information
Practice address
2015 BOUNDARY ST # 204, BEAUFORT, SC 29902-6802
(843) 379-0545
Mailing address
35 PARRIS ISLAND GTWY # 104, BEAUFORT, SC 29906-4244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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