| Emotions 4life | |
|
4210 Plymouth St Wallace SC 29596-8814 | |
| (843) 623-4305 | |
| Not Available |
| Full Name | Emotions 4life |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4210 Plymouth St, Wallace, South Carolina |
| Authorized Official Name and Position | Nicholas Short (DIRECTOR) |
| Authorized Official Contact | 8436234305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emotions 4life Po Box 181 Bennettsville SC 29512-0181 Ph: (843) 623-4305 | Emotions 4life 4210 Plymouth St Wallace SC 29596-8814 Ph: (843) 623-4305 |
| NPI Number | 1598410359 |
|---|---|
| Provider Enumeration Date | 02/19/2022 |
| Last Update Date | 02/19/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598410359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Changing Communities Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1651 Highway 177, Wallace, SC 29596 Phone: 980-272-0063 |