Tara Lane, LPC | |
710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, SC 29464-3045 | |
(843) 800-1303 | |
(888) 316-7716 |
Full Name | Tara Lane |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, 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 |
---|---|---|---|
1952795445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 7332 (South Carolina) | Primary |
Entity Name | Sweetgrass Psychiatry Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669985859 PECOS PAC ID: 4688932957 Enrollment ID: O20171213002990 |
Mailing Address | Practice Location Address |
---|---|
Tara Lane, LPC 2513 Daniel Island Dr, Daniel Island, SC 29492-8904 Ph: (609) 412-8789 | Tara Lane, LPC 710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, SC 29464-3045 Ph: (843) 800-1303 |
Sandra Nelson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 782 Johnnie Dodds Blvd Ste I, Mount Pleasant, SC 29464 Phone: 843-300-9105 Fax: 843-284-3931 | |
Steven Jesse Jahnke, LPC Counselor Medicare: Medicare Enrolled Practice Location: 871 Lowcountry Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-501-1099 | |
Abigail Hankins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Heritage Cir, Mount Pleasant, SC 29464 Phone: 337-529-0074 | |
Lacey Atkins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 W Coleman Blvd, Mount Pleasant, SC 29464 Phone: 843-405-2869 | |
Christina Arnoldi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1514 Mathis Ferry Rd, Suite 212, Mount Pleasant, SC 29464 Phone: 843-732-2280 | |
Karen Lewis, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Simmons St, Mount Pleasant, SC 29464 Phone: 843-714-5260 | |
Stephanie Nicole Gore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 871 Lowcountry Blvd, Mount Pleasant, SC 29464 Phone: 843-501-1009 |