Jacqueline Allen, | |
448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730-4264 | |
(803) 323-0068 | |
Not Available |
Full Name | Jacqueline Allen |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 448 Lakeshore Pkwy, Rock Hill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730472804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | It's Your Move |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396214987 PECOS PAC ID: 4880056837 Enrollment ID: O20230808003840 |
Mailing Address | Practice Location Address |
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Jacqueline Allen, 448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730-4264 Ph: (803) 323-0068 | Jacqueline Allen, 448 Lakeshore Pkwy, Suite 110, Rock Hill, SC 29730-4264 Ph: (803) 323-0068 |
Jermaine Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-328-7141 | |
Medlinda S Garrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2230e Main Street, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-329-7141 | |
Janet C Bunch, MAC, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1800 | |
Kelsey Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Millstream Dr, Rock Hill, SC 29732 Phone: 859-992-7429 | |
Roxie Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 E Main St, Suite 300, Rock Hill, SC 29730 Phone: 803-328-9600 Fax: 803-329-7141 | |
Bevelyn Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Dotson St, Rock Hill, SC 29732 Phone: 803-327-2012 Fax: 803-329-7141 | |
Ms. Cathy Mene'e Crawford, MA, QMRP, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 Lakeshore Pkwy Ste 110, Rock Hill, SC 29730 Phone: 803-329-3177 |