Search › South Carolina › 101YM0800X
Kelsey Mazzocco, ATC
NPI 1679026868 · on the registry since 2016 · sole proprietor
Practice
- Address
- 403 Stoney Landing Road
Moncks Corner, SC 29461 - Phone
- (864) 294-2000
- Organisation at this address
- Berkeley Community Mental Health Center
South Carolina Dept Of Mental Health Accounting OfficeInferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-18
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