Phyllis Kathleen Azzarito, | |
68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Phyllis Kathleen Azzarito |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 68 Pointe Cir Ste 3201, Greenville, 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 |
---|---|---|---|
1013687797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7844 (South Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
Mailing Address | Practice Location Address |
---|---|
Phyllis Kathleen Azzarito, 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 Ph: (855) 284-7483 | Phyllis Kathleen Azzarito, 68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 Ph: (855) 284-7483 |
Ms. Jessicka Spearman Childs, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Farrs Bridge Rd, Greenville, SC 29617 Phone: 864-383-0384 | |
Andrew James Tallarico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Cleveland St, Greenville, SC 29607 Phone: 864-467-3790 | |
Alondria Goode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1708 Augusta St Ste C226, Greenville, SC 29605 Phone: 864-206-9309 | |
Alyssa Cherise Livanos, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Pettigru St, Greenville, SC 29601 Phone: 864-271-3549 | |
Nicole Mckinney, MS, LPC, CSOTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2510 Wade Hampton Blvd, Greenville, SC 29615 Phone: 864-509-0774 | |
Jordan Sartain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-241-1040 | |
Jacquelyn Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-549-0222 |