Organization · Type 2 NPI
Miss Ebony LPC
Adult Mental Health Clinic/Center · Manning, SC
NPI number
1063275972
Active
Practice location
1024 Heriot St
Manning, SC 29102
Mailing address
652 Bush River Rd Ste 217
Columbia, SC 29210-7537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1063275972
Miss Ebony LPC's National Provider Identifier is 1063275972, issued on Feb 2, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Manning, SC. The record was last updated on Jun 4, 2026.