Miss Satura Long, | |
402 S Live Oak Dr, Moncks Corner, SC 29461-3550 | |
(843) 879-4121 | |
(866) 556-9303 |
Full Name | Miss Satura Long |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 402 S Live Oak Dr, Moncks Corner, 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 |
---|---|---|---|
1255948873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7612 (South Carolina) | Primary |
Entity Name | National Youth Advocate Program Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730586694 PECOS PAC ID: 7719258292 Enrollment ID: O20240124003102 |
Mailing Address | Practice Location Address |
---|---|
Miss Satura Long, 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 Ph: (843) 879-4121 | Miss Satura Long, 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 Ph: (843) 879-4121 |
Kenneth Furman Howell, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-879-4121 | |
Mr. John M Dorman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Ms. Olivia Rachel Ward, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Tina Jennings Okenfuss, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3508 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-958-2590 | |
Dana Brooke Mandel, MA, LPC-I, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-719-3000 | |
Amelia H Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Takila L Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 |