Dr Shaniqua Lesesne, LISW-CP, EDD | |
15 Broad St, Sumter, SC 29150-4224 | |
(803) 902-5929 | |
Not Available |
Full Name | Dr Shaniqua Lesesne |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 15 Broad St, Sumter, 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 |
---|---|---|---|
1225383102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (South Carolina) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
Mailing Address | Practice Location Address |
---|---|
Dr Shaniqua Lesesne, LISW-CP, EDD 1196 Saltcedar Ln, Manning, SC 29102-7543 Ph: (803) 460-6694 | Dr Shaniqua Lesesne, LISW-CP, EDD 15 Broad St, Sumter, SC 29150-4224 Ph: (803) 902-5929 |
Karan Godette, M.ED., M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 | |
Cynthia M Fazekas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 Fax: 803-773-6256 | |
Mrs. Ashley Moise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 N Guignard Dr, Sumter, SC 29150 Phone: 803-775-9364 | |
Ms. Jeemy D. Grate-pearson, Counselor Medicare: Not Enrolled in Medicare Practice Location: Swcmhc/act, 764 West Liberty St., 2 Medical Ct., Sumter, SC 29151 Phone: 803-778-4195 Fax: 803-778-6598 | |
Ms. Ponya J. Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N Magnolia St, Sumter, SC 29150 Phone: 803-775-9364 Fax: 803-773-6615 | |
Ms. Lucie M. Moise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1278 N Lafayette Dr, Sumter, SC 29150 Phone: 803-774-4500 Fax: 803-774-4641 | |
Donte Terrell Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 N Pike West, Sumter, SC 29153 Phone: 843-331-4087 |