Theresa's Way
NPI #1497361448 in Pamplico, South Carolina
Provider Information
- NPI Number
- 1497361448
- Entity Type
- Organization
- Organization Name
- Theresa's Way
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 16, 2020
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 928 HILLSIDE DR
- City
- Pamplico
- State
- South Carolina
- ZIP Code
- 29583-6810
- Phone
- (843) 616-4225
Authorized Official
- Name
- DR. TAMIQUIA TYESHA SIMON, ED.D
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (843) 616-4225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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