| Creating Meaning Counseling Services Llc | |
|
4149 Hibiscus Dr Apt 303 Little River SC 29566-8384 | |
| (347) 575-8368 | |
| Not Available |
| Full Name | Creating Meaning Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4149 Hibiscus Dr Apt 303, Little River, South Carolina |
| Authorized Official Name and Position | June Tyson (OWNER) |
| Authorized Official Contact | 3475758368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Meaning Counseling Services Llc 4149 Hibiscus Dr Apt 303 Little River SC 29566-8384 Ph: (347) 575-8368 | Creating Meaning Counseling Services Llc 4149 Hibiscus Dr Apt 303 Little River SC 29566-8384 Ph: (347) 575-8368 |
| NPI Number | 1275282410 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 5193197473 |
|---|---|
| Medicare Enrollment ID | O20230215000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275282410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | June Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902056211 PECOS PAC ID: 0446560403 Enrollment ID: I20211019002204 |
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