Organization
KINTSUGI THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA L SCOTT-ROGERS MA, LPC (OWNER)
(864) 747-0678
Entity
Organization
Contact information
Practice address
151 MITCHELL RD APT L4, GREENVILLE, SC 29615-2660
(864) 747-0678
Mailing address
151 MITCHELL RD APT L4, GREENVILLE, SC 29615-2660
(864) 747-0678
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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