Miss Ebony Lpc
NPI #1063275972 in Manning, South Carolina
Provider Information
- NPI Number
- 1063275972
- Entity Type
- Organization
- Organization Name
- Miss Ebony Lpc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Feb 2, 2024
- Last Updated
- Feb 8, 2024
Practice Location
- Address
- 1024 HERIOTT ST
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-5919
- Phone
- (803) 339-2221
Authorized Official
- Name
- EBONY LANGHORNE
- Title
- OWNER
- Phone
- (803) 339-2221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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