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CORAZON OF SOUTH CAROLINA, LLC 1326715541

Overview
Name: CORAZON OF SOUTH CAROLINA, LLC Specialty: Adolescent and Children Mental Health Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Adolescent and Children Mental Health. Definition of Specialty: 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.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: CORAZON OF SOUTH CAROLINA, LLC,1631 MAIN ST FL 2,COLUMBIA,SC,292012817,US Mailing Address: CORAZON OF SOUTH CAROLINA, LLC,1631 MAIN ST FL 2,COLUMBIA,SC,292012817,US
Contact #
Practice location phone #: 8035671217 Practice location fax #: Mailing address Phone #: 8035671217 Mailing Address fax #: Authorized official Name/Telephone #:KIMBERLY, KOCAK, LISW-CP, OWNER 6145515760
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:

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