Organization
PEACE OF MINE COUNSELING AND CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANISHA FORDHAM MILLER LPC, LAC (OWNER/COUNSELOR)
(843) 709-3392
Entity
Organization
Contact information
Practice address
106 W GEORGIA RD, SIMPSONVILLE, SC 29681-2302
(843) 709-3392
Mailing address
24 MIDDLEFIELD CT, SIMPSONVILLE, SC 29680-7054
(843) 709-3392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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