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Mittie Grace Wentworth
Counselor in Greenwood, South Carolina
NPI 1811542889

Mittie Grace Wentworth is a Counselor based in Greenwood, SC. Mittie Grace Wentworth practices in Greenwood, SC. The NPI Number for Mittie Grace Wentworth is 1811542889 and holds a License No. (South Carolina).

The current practice location address for Mittie Grace Wentworth is 1547 Parkway, Greenwood, SC and can be reached out via phone at 864-229-7120.

Location: 1547 Parkway, Greenwood, SC, 29646-4081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811542889
Provider Name
Mittie Grace Wentworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1547 Parkway, Greenwood, SC, 29646-4081
Phone Number
864-229-7120
Fax Number
Provider Enumeration Date
08/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3335 01 SC MEDICARE
421504 05 SC
institution
Provider Business Practice Location Address Details
Address
1547 Parkway
City
Greenwood
State
South Carolina
Zip
29646-4081
Phone Number
864-229-7120
Fax Number
person
Provider Business Mailing Address Details
Address
1547 Parkway
City
Greenwood
State
South Carolina
Zip
29646-4081
Phone Number
864-229-7120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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