Tina Jennings Okenfuss, LPC | |
3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 | |
(843) 958-2590 | |
Not Available |
Full Name | Tina Jennings Okenfuss |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3508 S Live Oak Dr, Moncks Corner, 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 |
---|---|---|---|
1013495522 | NPI | - | NPPES |
PC2297 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7295 (South Carolina) | Primary |
Entity Name | Roper Saint Francis Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346752383 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
Mailing Address | Practice Location Address |
---|---|
Tina Jennings Okenfuss, LPC Po Box 751649, Charlotte, NC 28275-1649 Ph: (888) 472-0043 | Tina Jennings Okenfuss, LPC 3508 S Live Oak Dr, Moncks Corner, SC 29461-8737 Ph: (843) 958-2590 |
Kenneth Furman Howell, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1714 S Live Oak Dr, Moncks Corner, SC 29461 Phone: 843-879-4121 | |
Mr. John M Dorman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Ms. Olivia Rachel Ward, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Dana Brooke Mandel, MA, LPC-I, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-719-3000 | |
Amelia H Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Takila L Frazier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Stoney Landing Road, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 |