| Carolina Grace Counseling | |
|
89 Old Trolley Rd Ste 202 Summerville SC 29485-4951 | |
| (854) 206-5513 | |
| Not Available |
| Full Name | Carolina Grace Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 89 Old Trolley Rd Ste 202, Summerville, South Carolina |
| Authorized Official Name and Position | Danielle J Baez (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4196992337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Grace Counseling 89 Old Trolley Rd Ste 202 Summerville SC 29485-4951 Ph: (854) 206-5513 | Carolina Grace Counseling 89 Old Trolley Rd Ste 202 Summerville SC 29485-4951 Ph: (854) 206-5513 |
| NPI Number | 1356098370 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 1052788890 |
|---|---|
| Medicare Enrollment ID | O20221107003315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356098370 | NPI | - | NPPES |
| Provider Name | Danielle June Baez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366845430 PECOS PAC ID: 2264820612 Enrollment ID: I20211104000201 |
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