Keli Davis, | |
1340 Celebration Blvd, Florence, SC 29501-5585 | |
(843) 536-1180 | |
Not Available |
Full Name | Keli Davis |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1340 Celebration Blvd, Florence, 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 |
---|---|---|---|
1881298602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7187 (South Carolina) | Primary |
Entity Name | Wellspring Psychology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255756565 PECOS PAC ID: 9537382692 Enrollment ID: O20140519002263 |
Mailing Address | Practice Location Address |
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Keli Davis, Po Box 1204, Florence, SC 29503-1204 Ph: () - | Keli Davis, 1340 Celebration Blvd, Florence, SC 29501-5585 Ph: (843) 536-1180 |
Lakyn Bendle, Counselor Medicare: Medicare Enrolled Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 Fax: 843-667-1362 | |
Mr. Bernard Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 E. National Cemetary Rd., Florence, SC 29506 Phone: 843-292-1027 Fax: 843-292-1030 | |
Reghan Teressa Timmons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096 | |
April Haynesworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096 | |
Mrs. Stephanie Diane Thompson-otero, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Dargan St Ste 107, Florence, SC 29506 Phone: 843-618-4658 | |
Jennifer F Elkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2135 Hoffmeyer Rd Ste B, Florence, SC 29501 Phone: 843-661-6030 Fax: 843-679-2633 | |
Mr. Levern Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4089 Fax: 843-317-4096 |