South Carolina Online Counseling and Group Therapy, LLC
NPI #1154928448 in Ridgeland, South Carolina
Provider Information
- NPI Number
- 1154928448
- Entity Type
- Organization
- Organization Name
- South Carolina Online Counseling and Group Therapy, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 8, 2020
- Last Updated
- Oct 8, 2020
Practice Location
- Address
- 61 RIVERWALK BLVD STE H
- City
- Ridgeland
- State
- South Carolina
- ZIP Code
- 29936-3252
- Phone
- (843) 636-5017
Authorized Official
- Name
- LEIGH DIOTALEVI, LISW-CP
- Title
- ADMINISTRATOR
- Phone
- (843) 636-5017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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