Jeffry Burgdorfer, LPC | |
68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 | |
(864) 301-6458 | |
Not Available |
Full Name | Jeffry Burgdorfer |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 68 Pointe Cir Ste 3201, Greenville, 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 |
---|---|---|---|
1689110892 | NPI | - | NPPES |
008023170 | Medicaid | CT | |
008024427 | Medicaid | CT | |
008039745 | Medicaid | CT | |
008070148 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7521 (South Carolina) | Primary |
101YP2500X | Counselor - Professional | 3111 (Connecticut) | Secondary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200602000701 |
Mailing Address | Practice Location Address |
---|---|
Jeffry Burgdorfer, LPC 68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 Ph: () - | Jeffry Burgdorfer, LPC 68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 Ph: (864) 301-6458 |
Ms. Jessicka Spearman Childs, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Farrs Bridge Rd, Greenville, SC 29617 Phone: 864-383-0384 | |
Andrew James Tallarico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Cleveland St, Greenville, SC 29607 Phone: 864-467-3790 | |
Alondria Goode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1708 Augusta St Ste C226, Greenville, SC 29605 Phone: 864-206-9309 | |
Alyssa Cherise Livanos, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Pettigru St, Greenville, SC 29601 Phone: 864-271-3549 | |
Nicole Mckinney, MS, LPC, CSOTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2510 Wade Hampton Blvd, Greenville, SC 29615 Phone: 864-509-0774 | |
Jordan Sartain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-241-1040 | |
Jacquelyn Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-549-0222 |