The Lakehouse, LLC
NPI #1386955524 in Ridgeway, South Carolina
Provider Information
- NPI Number
- 1386955524
- Entity Type
- Organization
- Organization Name
- The Lakehouse, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jun 22, 2010
- Last Updated
- Jun 22, 2010
Practice Location
- Address
- 1545 WATEREE DAM RD
- City
- Ridgeway
- State
- South Carolina
- ZIP Code
- 29130-9162
- Phone
- (803) 272-0412
Authorized Official
- Name
- BARRY D BROWN JR.
- Title
- CEO
- Phone
- (803) 331-0658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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