| Independent Mental Health Solutions Llc | |
|
1016 2nd Ave N Ste 205 North Myrtle Beach SC 29582-3288 | |
| (843) 472-8334 | |
| Not Available |
| Full Name | Independent Mental Health Solutions Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1016 2nd Ave N Ste 205, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Martha Grayson (OWNER) |
| Authorized Official Contact | 8434728334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Mental Health Solutions Llc 499 Mcalister Dr Little River SC 29566-5904 Ph: (843) 472-8334 | Independent Mental Health Solutions Llc 1016 2nd Ave N Ste 205 North Myrtle Beach SC 29582-3288 Ph: (843) 472-8334 |
| NPI Number | 1598526493 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 01/18/2024 |
| Medicare PECOS PAC ID | 9133669062 |
|---|---|
| Medicare Enrollment ID | O20240906000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598526493 | NPI | - | NPPES |
| Provider Name | Susan Lang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548639933 PECOS PAC ID: 3072814045 Enrollment ID: I20151216000775 |
| Provider Name | Mary Jane Mcmanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488836 PECOS PAC ID: 7911274048 Enrollment ID: I20180911003687 |
| Provider Name | Savannah Thames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740997956 PECOS PAC ID: 8123498748 Enrollment ID: I20221222002647 |
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