Rex Alan Dula Jr, LPC | |
1495 Remount Rd Ste 3a, North Charleston, SC 29406-3320 | |
(843) 882-6880 | |
(843) 892-0394 |
Full Name | Rex Alan Dula Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1495 Remount Rd Ste 3a, North Charleston, 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 |
---|---|---|---|
1194335596 | NPI | - | NPPES |
PG2743 | Medicaid | SC | |
PG1456 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8948 (South Carolina) | Primary |
101YM0800X | Counselor - Mental Health | 8948 (South Carolina) | Secondary |
Entity Name | Breathe Life Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649927492 PECOS PAC ID: 2365881869 Enrollment ID: O20240417000654 |
Mailing Address | Practice Location Address |
---|---|
Rex Alan Dula Jr, LPC 1495 Remount Rd Ste 3a, North Charleston, SC 29406-3320 Ph: (843) 608-0592 | Rex Alan Dula Jr, LPC 1495 Remount Rd Ste 3a, North Charleston, SC 29406-3320 Ph: (843) 882-6880 |
Mary A Everette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3601c Meeting Street Rd, North Charleston, SC 29405 Phone: 843-740-6136 | |
Etta Smith, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 843-207-4721 | |
Brooke Church, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 843-207-4721 | |
Brittany Greene, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2128 Dorchester Rd, North Charleston, SC 29405 Phone: 843-501-8825 | |
Khadejiah Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Bcd, North Charleston, SC 29406 Phone: 800-805-6989 | |
Alexa Kramer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2470 Mall Dr Unit Cd, North Charleston, SC 29406 Phone: 800-805-6989 | |
Monique Haynes, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7885 Thomasville Rd Apt 101, North Charleston, SC 29418 Phone: 843-330-2756 |