Individual provider · Type 1 NPI

Re'vin Slack, MS, LMFT, APCC

Marriage & Family Therapist · Columbia, SC

NPI number 1730701905 Active

Practice location

324 Oak Manor Dr
Columbia, SC 29229-9313

Call (909) 522-9690 Map

Mailing address

PO Box 292493
Columbia, SC 29229-0042

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XLMFT8060 (SC)
Marriage & Family Therapist Primary 106H00000XLMFT135690 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1730701905

Re'vin Slack, MS, LMFT, APCC's National Provider Identifier is 1730701905, issued on May 11, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Columbia, SC. The record was last updated on Jul 9, 2026.