Michael K Johnson, | |
1 Professional Dr Ste 8, Port Royal, SC 29935-1104 | |
(854) 245-0184 | |
(980) 303-2682 |
Full Name | Michael K Johnson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1 Professional Dr Ste 8, Port Royal, 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 |
---|---|---|---|
1417452905 | NPI | - | NPPES |
Entity Name | Inner Rest Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780455410 PECOS PAC ID: 8820524655 Enrollment ID: O20241204000406 |
Mailing Address | Practice Location Address |
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Michael K Johnson, 11 Parklands Dr Unit 1737, Bluffton, SC 29910-5193 Ph: (854) 245-0184 | Michael K Johnson, 1 Professional Dr Ste 8, Port Royal, SC 29935-1104 Ph: (854) 245-0184 |
Johnpaul C Boulden, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Paris Ave, Port Royal, SC 29935 Phone: 843-277-6779 | |
Marcy Eden Houston, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Paris Ave, Port Royal, SC 29935 Phone: 843-325-2223 | |
Julie Singleton Tabor, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 Paris Ave Ste A, Port Royal, SC 29935 Phone: 843-524-6112 Fax: 843-524-6111 | |
Mary Bennett Pickens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 Paris Ave Ste B, Port Royal, SC 29935 Phone: 843-593-0909 | |
Wanda Dantzler Mayse, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1875 N Paris Avenue, Port Royal, SC 29935 Phone: 843-379-9600 | |
Ms. Patricia A Dean, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 16th Street Ext, Port Royal, SC 29935 Phone: 843-263-2614 Fax: 877-275-4815 |