| Beyond Therapy | |
|
4209 Mayfair St Ste A Myrtle Beach SC 29577-5899 | |
| (843) 989-0220 | |
| Not Available |
| Full Name | Beyond Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 4209 Mayfair St Ste A, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Debra Dotson (OWNER) |
| Authorized Official Contact | 8439890220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond Therapy Po Box 50102 Myrtle Beach SC 29579-0002 Ph: (843) 989-0220 | Beyond Therapy 4209 Mayfair St Ste A Myrtle Beach SC 29577-5899 Ph: (843) 989-0220 |
| NPI Number | 1306479506 |
|---|---|
| Provider Enumeration Date | 02/16/2020 |
| Last Update Date | 05/25/2020 |
| Certification Date | 05/25/2020 |
| Medicare PECOS PAC ID | 8224450317 |
|---|---|
| Medicare Enrollment ID | O20200618000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306479506 | NPI | - | NPPES |
| Provider Name | Debra Ann Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306975446 PECOS PAC ID: 3173694106 Enrollment ID: I20200618001144 |
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