Mha
NPI #1285962886 in Blythewood, South Carolina
Provider Information
- NPI Number
- 1285962886
- Entity Type
- Organization
- Organization Name
- Mha
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 20, 2009
- Last Updated
- Nov 20, 2009
Practice Location
- Address
- 200 CLAUDE BUNDRICK RD
- City
- Blythewood
- State
- South Carolina
- ZIP Code
- 29016-9420
- Phone
- (803) 786-5478
Authorized Official
- Name
- MS. CARLISSA Y GOODWIN
- Title
- CARE PROVIDER
- Phone
- (803) 735-9680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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