| Coastal Springs Counseling Llc | |
|
106 Lansford Ct Ste 200 Myrtle Beach SC 29588-3501 | |
| (843) 983-1655 | |
| (843) 983-1665 |
| Full Name | Coastal Springs Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 106 Lansford Ct Ste 200, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Theresa E Sloan (MANAGING MEMBER) |
| Authorized Official Contact | 8439831655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Springs Counseling Llc 106 Lansford Ct Ste 200 Myrtle Beach SC 29588-3501 Ph: (843) 983-1655 | Coastal Springs Counseling Llc 106 Lansford Ct Ste 200 Myrtle Beach SC 29588-3501 Ph: (843) 983-1655 |
| NPI Number | 1780444059 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 1951741156 |
|---|---|
| Medicare Enrollment ID | O20240506001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780444059 | NPI | - | NPPES |
| Provider Name | Theresa Elise Sloan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093730632 PECOS PAC ID: 5597105791 Enrollment ID: I20240506001380 |
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