| Guided Healing Licensed Clinical Therapy, Llc | |
|
501 Belle Hall Pkwy Unit 102 Mt Pleasant SC 29464-8322 | |
| (843) 225-0537 | |
| Not Available |
| Full Name | Guided Healing Licensed Clinical Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 501 Belle Hall Pkwy Unit 102, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Susan Durand (OFFICE MANAGER) |
| Authorized Official Contact | 8436083552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Healing Licensed Clinical Therapy, Llc 501 Belle Hall Pkwy Unit 102 Mt Pleasant SC 29464-8322 Ph: () - | Guided Healing Licensed Clinical Therapy, Llc 501 Belle Hall Pkwy Unit 102 Mt Pleasant SC 29464-8322 Ph: (843) 225-0537 |
| NPI Number | 1790323582 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Medicare PECOS PAC ID | 3274940861 |
|---|---|
| Medicare Enrollment ID | O20210326001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790323582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Emily Frichtl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760812200 PECOS PAC ID: 1456771724 Enrollment ID: I20201027000438 |
| Provider Name | James Tyrone Wilder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346751971 PECOS PAC ID: 4486053907 Enrollment ID: I20210602002985 |
| Provider Name | Jill Lederman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154744431 PECOS PAC ID: 7416236450 Enrollment ID: I20210921002707 |
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