| Donya Demesha Wallace, LPC | |
|
201 Short St, Kingstree, SC 29556-3926 | |
| (842) 354-7324 | |
| (843) 354-6461 |
| Full Name | Donya Demesha Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 201 Short St, Kingstree, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558384164 | NPI | - | NPPES |
| WP8972 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4697 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donya Demesha Wallace, LPC 992 Jasmine Ln, Florence, SC 29501-8599 Ph: (843) 773-9649 | Donya Demesha Wallace, LPC 201 Short St, Kingstree, SC 29556-3926 Ph: (842) 354-7324 |
Mr. Sylvester Sarratt, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Short St, Kingstree, SC 29556 Phone: 843-355-9113 Fax: 843-355-9389 | |
Mrs. Jannie D Snow, NCACII,CACII,LBSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Short St, Kingstree, SC 29556 Phone: 843-355-9113 Fax: 843-355-9389 | |
Betty Green, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 Hampton Ave, Kingstree, SC 29556 Phone: 843-401-0005 Fax: 843-401-0006 | |
Mrs. Virlee Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Academy St, Kingstree, SC 29556 Phone: 843-355-5571 | |
Ms. Jalisa Vonett Gibbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 E Mill St, Kingstree, SC 29556 Phone: 843-355-9922 | |
Ms. Jessie M Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Martin Luther King Ave, Kingstree, SC 29556 Phone: 843-355-6823 | |
Ms. Carolyn Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 825 Tomlinson St, E-3, Kingstree, SC 29556 Phone: 910-843-6899 |