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: