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Miss Ebony Lpc
Adolescent and Children Mental Health Clinic/Center in Manning, South Carolina
NPI 1063275972

Miss Ebony Lpc is an Adolescent and Children Mental Health Clinic/Center based in Manning, SC and is specialized in Adolescent and Children Mental Health. Miss Ebony Lpc practices in Manning, SC. The NPI Number for Miss Ebony Lpc is 1063275972 and holds a License No. (South Carolina).

The current practice location address for Miss Ebony Lpc is 1024 Heriott St, Manning, SC and can be reached out via phone at 803-339-2221.

Location: 1024 Heriott St, Manning, SC, 29102-5919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063275972
Provider Name
Miss Ebony Lpc
Credential
Provider Entity Type
Organization
Address
1024 Heriott St, Manning, SC, 29102-5919
Phone Number
803-339-2221
Fax Number
Provider Enumeration Date
02/02/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1024 Heriott St
City
Manning
State
South Carolina
Zip
29102-5919
Phone Number
803-339-2221
Fax Number
person
Provider Business Mailing Address Details
Address
1024 Heriott St
City
Manning
State
South Carolina
Zip
29102-5919
Phone Number
803-339-2221
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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