Organization · Type 2 NPI
Recreate Life
Professional Counselor · Pendleton, SC
NPI number
1790632669
Active
Practice location
5342 Olden Porter Rd
Pendleton, SC 29670-8926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1790632669
Recreate Life's National Provider Identifier is 1790632669, issued on Mar 11, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pendleton, SC. The record was last updated on Jun 9, 2026.