Kenyatta Tavaris Bostic is a mental health counselor in Simpsonville, SC. Kenyatta Tavaris Bostic NPI is 1447442447. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
20 POWDERHORN RD
SIMPSONVILLE, SC
ZIP 29681-399
Phone: (864) 963-3421
The enumeration date for this NPI number is 8/14/2007 and was last updated on 8/14/2007.