Provider Demographics
NPI:1295504694
Name:A KALM MIND COUNSELING/THERAPY
Entity type:Organization
Organization Name:A KALM MIND COUNSELING/THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHOMBEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-792-7686
Mailing Address - Street 1:4703 CASCADE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8190
Mailing Address - Country:US
Mailing Address - Phone:803-792-7686
Mailing Address - Fax:
Practice Address - Street 1:4703 CASCADE AVE
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-8190
Practice Address - Country:US
Practice Address - Phone:803-792-7686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)