| Angela K Jones Ma Lpc Llc | |
|
10023 Ocean Hwy Pawleys Island SC 29585-7806 | |
| (843) 314-8002 | |
| Not Available |
| Full Name | Angela K Jones Ma Lpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 10023 Ocean Hwy, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Angela Jones (OWNER) |
| Authorized Official Contact | 8433148002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela K Jones Ma Lpc Llc 10023 Ocean Hwy Pawleys Island SC 29585-7806 Ph: (843) 314-8002 | Angela K Jones Ma Lpc Llc 10023 Ocean Hwy Pawleys Island SC 29585-7806 Ph: (843) 314-8002 |
| NPI Number | 1679181150 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Medicare PECOS PAC ID | 4284176280 |
|---|---|
| Medicare Enrollment ID | O20240605003173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679181150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Angela Kaye Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205017852 PECOS PAC ID: 5193267193 Enrollment ID: I20240605003265 |
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