| Bergeron Counseling Services Llc | |
|
1335 44th Ave N Ste 204 Myrtle Beach SC 29577-5980 | |
| (843) 318-6619 | |
| Not Available |
| Full Name | Bergeron Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1335 44th Ave N Ste 204, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Shawn Michael Bergeron (SOCIAL WORKER) |
| Authorized Official Contact | 8433186619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergeron Counseling Services Llc 421 Westham Dr Murrells Inlet SC 29576-8298 Ph: (843) 318-6619 | Bergeron Counseling Services Llc 1335 44th Ave N Ste 204 Myrtle Beach SC 29577-5980 Ph: (843) 318-6619 |
| NPI Number | 1235412685 |
|---|---|
| Provider Enumeration Date | 09/22/2011 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 8022280544 |
|---|---|
| Medicare Enrollment ID | O20111005000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235412685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8649 (South Carolina) | Primary |
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