| Avondale Therapy | |
|
845 Savannah Hwy Suite 1c Charleston SC 29407-7202 | |
| (843) 870-0278 | |
| Not Available |
| Full Name | Avondale Therapy |
|---|---|
| Speciality | Counselor |
| Location | 845 Savannah Hwy, Charleston, South Carolina |
| Authorized Official Name and Position | Elise Richard (OWNER) |
| Authorized Official Contact | 8438700278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avondale Therapy 845 Savannah Hwy Suite 1c Charleston SC 29407-7202 Ph: () - | Avondale Therapy 845 Savannah Hwy Suite 1c Charleston SC 29407-7202 Ph: (843) 870-0278 |
| NPI Number | 1013375708 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013375708 | NPI | - | NPPES |
| PC1528 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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