Center For Counseling & Wellness | |
110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 | |
(843) 663-0770 | |
(843) 663-0772 |
Full Name | Center For Counseling & Wellness |
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Speciality | Counselor |
Location | 110 Ye Olde Kings Hwy, North Myrtle Beach, South Carolina |
Authorized Official Name and Position | Roberta J Bogle (DIRECTOR) |
Authorized Official Contact | 8436630770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Counseling & Wellness 110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 Ph: (843) 663-0770 | Center For Counseling & Wellness 110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 Ph: (843) 663-0770 |
NPI Number | 1538439450 |
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Provider Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |
Medicare PECOS PAC ID | 1052552973 |
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Medicare Enrollment ID | O20130718000510 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538439450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5005 (South Carolina) | Primary |
Provider Name | Patsy G Alexander |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609032630 PECOS PAC ID: 2365401700 Enrollment ID: I20041011000056 |
Provider Name | Marie Lise Linda Conner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770247280 PECOS PAC ID: 5698125599 Enrollment ID: I20240208003088 |
Provider Name | Montgomery Calbert Prescod |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1437775194 PECOS PAC ID: 9931547601 Enrollment ID: I20240401003397 |
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