Ms Stacy Erin Fraser, | |
901 N Kings Hwy, Myrtle Beach, SC 29577-3722 | |
(843) 448-4820 | |
(843) 448-9875 |
Full Name | Ms Stacy Erin Fraser |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 901 N Kings Hwy, Myrtle Beach, 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 |
---|---|---|---|
1285130625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7663 (South Carolina) | Primary |
Entity Name | Coastal Samaritan Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922189679 PECOS PAC ID: 9537348487 Enrollment ID: O20110124000992 |
Mailing Address | Practice Location Address |
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Ms Stacy Erin Fraser, 901 N Kings Hwy, Myrtle Beach, SC 29577-3722 Ph: (843) 448-4820 | Ms Stacy Erin Fraser, 901 N Kings Hwy, Myrtle Beach, SC 29577-3722 Ph: (843) 448-4820 |
Heather Partridge, LPC/S, MAC, CACII Counselor Medicare: Medicare Enrolled Practice Location: 4320 Holmestown Rd, Myrtle Beach, SC 29588 Phone: 843-652-8440 | |
Tamra Mcdermott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Prather Park Dr Ste D, Myrtle Beach, SC 29588 Phone: 843-595-6004 | |
Rosa Benetatos, LPC/A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2411 N Oak St Ste 403m, Myrtle Beach, SC 29577 Phone: 843-443-3172 | |
Haydee Sencion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4221 Mayfair St, Myrtle Beach, SC 29577 Phone: 843-999-0373 | |
Dr. Linda Cooper Lack, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1371 Wading Bird Lane, Myrtle Beach, SC 29577 Phone: 843-448-6516 | |
Michelle Marie Keys, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3015 Drywall Dr Ste 101, Myrtle Beach, SC 29577 Phone: 717-649-9138 Fax: 843-812-8660 | |
Ms. Alice Dee Mays, MA, LPC, BC-TMH, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2734 Beaver Run Blvd Bldg B232, Myrtle Beach, SC 29575 Phone: 843-868-5565 Fax: 843-242-0329 |