| Second Wind Life Services, Llc | |
|
1140 Boone Hill Rd Ste A Summerville SC 29483-2402 | |
| (843) 695-9997 | |
| (854) 300-4965 |
| Full Name | Second Wind Life Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1140 Boone Hill Rd Ste A, Summerville, South Carolina |
| Authorized Official Name and Position | Patricia L Costilla (OWNER/COUNSELOR) |
| Authorized Official Contact | 8436959997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Wind Life Services, Llc 275 Cheyenne Rd Summerville SC 29483-8301 Ph: (843) 695-9997 | Second Wind Life Services, Llc 1140 Boone Hill Rd Ste A Summerville SC 29483-2402 Ph: (843) 695-9997 |
| NPI Number | 1477433407 |
|---|---|
| Provider Enumeration Date | 09/02/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477433407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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