Individual provider · Type 1 NPI

Taivonna Way

Mental Health Counselor · Moncks Corner, SC

NPI number 1871067918 Active

Practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1871067918

Taivonna Way's National Provider Identifier is 1871067918, issued on Jan 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moncks Corner, SC. The record was last updated on Jan 11, 2019.