| Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. | |
|
630 Chestnut Rd Ste 14 Myrtle Beach SC 29572-5502 | |
| (843) 945-1452 | |
| (843) 945-1489 |
| Full Name | Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 630 Chestnut Rd Ste 14, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Laura L Crawford (OWNER) |
| Authorized Official Contact | 8439451452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. 630 Chestnut Rd Ste 14 Myrtle Beach SC 29572-5502 Ph: (843) 945-1452 | Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. 630 Chestnut Rd Ste 14 Myrtle Beach SC 29572-5502 Ph: (843) 945-1452 |
| NPI Number | 1720762503 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Medicare PECOS PAC ID | 9537517016 |
|---|---|
| Medicare Enrollment ID | O20231121003070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720762503 | NPI | - | NPPES |
| Provider Name | Ashley A Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110599 PECOS PAC ID: 1456648088 Enrollment ID: I20160927000162 |
| Provider Name | Elena Huttenlocher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194175992 PECOS PAC ID: 9436540093 Enrollment ID: I20211216000050 |
| Provider Name | Karen Beth Gatwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609531516 PECOS PAC ID: 5698168409 Enrollment ID: I20220131000548 |
| Provider Name | Lisa Maria Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114290236 PECOS PAC ID: 7911377155 Enrollment ID: I20230103002990 |
| Provider Name | Dorie Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548984958 PECOS PAC ID: 3072971274 Enrollment ID: I20230621000344 |
| Provider Name | Vicki Grigg Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922233 PECOS PAC ID: 1850750423 Enrollment ID: I20230630000109 |
Cognitive Behavioral Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9403 Highway 707, Suite B, Myrtle Beach, SC 29588 Phone: 843-450-0636 Fax: 843-215-4561 | |
Professional Counseling Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1304 C Azalea Court, Myrtle Beach, SC 29577 Phone: 843-997-4022 Fax: 843-215-2444 | |
Kenneth T Cappuccio Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Serenity And Beyond Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577 Phone: 843-804-8200 | |
Coping Eap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Maison Dr Unit 28, Myrtle Beach, SC 29572 Phone: 843-449-8318 Fax: 843-497-5441 | |
Capeside Addiction Care, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4889 Highway 17 Byp S, Myrtle Beach, SC 29577 Phone: 843-584-7011 Fax: 843-945-1355 | |
P & E Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4108 Carolina Commercial Dr, Myrtle Beach, SC 29579 Phone: 843-424-7705 |