person
Lutisha Wade, MA,LPC-A
Mental Health Counselor in Fort Mill, South Carolina
NPI 1679340665

Lutisha Wade is a Mental Health Counselor based in Fort Mill, SC and is specialized in Mental Health. Lutisha Wade practices in Fort Mill, SC and has the professional credentials of MA,LPC-A. The NPI Number for Lutisha Wade is 1679340665 and holds a License No. 8719 (South Carolina).

The current practice location address for Lutisha Wade is 1646 Highway 160 W Ste 105268, Fort Mill, SC and can be reached out via phone at 803-784-8754.

Location: 1646 Highway 160 W Ste 105268, Fort Mill, SC, 29708-8037
person
Provider Profile Details
NPI Number
1679340665
Provider Name
Lutisha Wade
Credential
MA,LPC-A
Provider Entity Type
Individual
Gender
Female
Address
1646 Highway 160 W Ste 105268, Fort Mill, SC, 29708-8037
Phone Number
803-784-8754
Fax Number
Provider Enumeration Date
12/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1646 Highway 160 W Ste 105268
City
State
Zip
29708-8037
Phone Number
803-784-8754
Fax Number
person
Provider Business Mailing Address Details
Address
1646 Highway 160 W Ste 105268
City
State
Zip
29708-8037
Phone Number
803-784-8754
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8719 (South Carolina)
Definition
Definition to come...
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