| Clinton Douglas Prevatte, | |
|
164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | |
| (843) 347-5060 | |
| (843) 347-3959 |
| Full Name | Clinton Douglas Prevatte |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 164 Waccamaw Medical Park Dr, Conway, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841764693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Douglas Prevatte, 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 Ph: (843) 347-5060 | Clinton Douglas Prevatte, 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 Ph: (843) 347-5060 |
Ms. Tawan Binnetta Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Latoya Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Sabrina Jelks, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Hanna Grace Hardee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Jannie Lance Morant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Joseph E Dekine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Susan Ann Mclean, LPC, NCC, CCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Waccamaw Medical Park Ct, Conway, SC 29526 Phone: 843-457-0946 |