Equilibrium Llc

NPI 1013135433 - Counselor - 101YP2500X

NPI Details
NPI 1013135433
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WENDY K WENDY
Position LICENSED PROFESSIONAL COUNSELOR
Phone (803) 361-3066
Fax (866) 834-4286
Practice Location
701 GERVAIS ST
STE 150-258
COLUMBIA SC, 29201-3066, US
Phone (803) 361-3066
Fax (866) 834-4286
Business Location
1821 PICKENS ST
COLUMBIA SC, 29201-2630, US
Phone (803) 361-3066
Fax (866) 834-4286
Toxanomy
Taxonomy Code 101YP2500X
License State South Carolina
License Number 4644
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According to our database, Equilibrium Llc NPI is 1013135433, taxonomy code is 101YP2500X and license number is 4644, license state is located at South Carolina. Equilibrium Llc physically located at 701 Gervais St, Columbia SC, 29201-3066. NPI Number 1033115704 has the healthcare provider type.

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1013135433 NPI number is provided on an as is basis without warranty of any kind. 1013135433 is maintained by the National Plan & Provider Enumeration System. The contents of Equilibrium Llc are for informational purposes only.