Doctor Name: | MEDLINDA S GARRISON |
NPI Number: | 1003153610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2230e Main Street Suite 300 Rock Hill, SC - 29730 |
Business Phone Number: | 8033289600 |
Business Fax Number: | 8033297141 |
Mailing Address: | 1906 Highway 521 Byp S, LANCASTER |
State: | SC |
Postal Code: | 297207579 |
Phone Number: | 8035818311 |
Fax Number: | 8033297141 |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |