Waccamaws Health and Wellness Services LLC
NPI #1124371448 in Conway, South Carolina
Provider Information
- NPI Number
- 1124371448
- Entity Type
- Organization
- Organization Name
- Waccamaws Health and Wellness Services LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 24, 2012
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 314A LAUREL ST
- Address 2
- SUITE 205
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-5157
- Phone
- (843) 279-0172
Authorized Official
- Name
- PROF. LAKEYSA MARIE JOHNSON, CAC-P, MSW, LISW-CP
- Title
- CEO/PSYCHOTHERAPIST
- Phone
- (843) 279-0172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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