| Beaufort County Student Mental Health Llc | |
|
1555 Fording Island Rd Ste C1 Hilton Head Island SC 29926-1176 | |
| (843) 815-6789 | |
| (843) 815-6788 |
| Full Name | Beaufort County Student Mental Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1555 Fording Island Rd Ste C1, Hilton Head Island, South Carolina |
| Authorized Official Name and Position | Bryant Gordillo (ADMINISTRATOR) |
| Authorized Official Contact | 8438156789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaufort County Student Mental Health Llc 20 Towne Dr Ste 277 Bluffton SC 29910-4204 Ph: (843) 815-6789 | Beaufort County Student Mental Health Llc 1555 Fording Island Rd Ste C1 Hilton Head Island SC 29926-1176 Ph: (843) 815-6789 |
| NPI Number | 1730869090 |
|---|---|
| Provider Enumeration Date | 07/21/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730869090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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