SearchSouth Carolina106H00000X

Sarah Russell, MA, LMFT/A, CTP

NPI 1316710379 · on the registry since 2023 · sole proprietor

Practice

Address
144 Thomas Green Blvd
Clemson, SC 29631
Phone
(864) 584-8459
Organisation at this address
Legacy 12 Holdings, Llc.
Upstate Carolina Medical Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina