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Contact Information

TERRI B GODBOLT, MENTAL HEALTH COUNSE
1324 COMMERCE DRIVE
DILLON, SC29536
 Phone: 843-774-3351
 Fax: 843-774-2622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TERRI B GODBOLT · (Female)

NPI Number 1134802853
Status Active
Credentials MENTAL HEALTH COUNSE
Entity Individual
Enumeration date 08/09/2023
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC Medicaid 405127
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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