person
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
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
State
Zip
29646-4081
Phone Number
864-229-7120
Fax Number
person
Provider Business Mailing Address Details
Address
1547 Parkway
City
State
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
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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