Mr Keith Stewart Mundis, LPC | |
311 Bennett Center Dr, Greer, SC 29650-1259 | |
(864) 968-9687 | |
(864) 968-9449 |
Full Name | Mr Keith Stewart Mundis |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 311 Bennett Center Dr, Greer, 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 |
---|---|---|---|
1720153380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1223 (South Carolina) | Primary |
Entity Name | Table Rock Integrated Health And Wellness Practice, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104145184 PECOS PAC ID: 0648462333 Enrollment ID: O20101013000875 |
Mailing Address | Practice Location Address |
---|---|
Mr Keith Stewart Mundis, LPC 311 Bennett Center Dr, Greer, SC 29650-1259 Ph: (864) 968-9687 | Mr Keith Stewart Mundis, LPC 311 Bennett Center Dr, Greer, SC 29650-1259 Ph: (864) 968-9687 |
Amanda Owens Banks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Parkway Commons Way, Greer, SC 29650 Phone: 864-877-7025 | |
Ms. Jeanette Latise Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12207 Daventry Cir, Greer, SC 29650 Phone: 864-361-5513 | |
Mrs. Julie Anne Stokes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Chesterton Ct, Greer, SC 29650 Phone: 864-884-8393 | |
June H Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Parkway Commons Way, Greer, SC 29650 Phone: 864-322-8342 Fax: 864-322-8342 | |
Mrs. Celia Seigler Deneen, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Parkway Commons Way, Greer, SC 29650 Phone: 864-879-4388 | |
Dr. Elizabeth Upchurch Willingham, PH.D., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-906-2395 | |
Laura Buttrey, LPC/A, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 The Pkwy Ste L, Greer, SC 29650 Phone: 864-655-5193 |