| Inner Rest Counseling, Llc | |
|
1 Professional Dr Ste 8 Port Royal SC 29935-1104 | |
| (854) 245-0184 | |
| (980) 303-2682 |
| Full Name | Inner Rest Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1 Professional Dr Ste 8, Port Royal, South Carolina |
| Authorized Official Name and Position | Michael K Johnson (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8542450184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Rest Counseling, Llc 11 Parklands Dr Unit 1737 Bluffton SC 29910-5193 Ph: (980) 277-4404 | Inner Rest Counseling, Llc 1 Professional Dr Ste 8 Port Royal SC 29935-1104 Ph: (854) 245-0184 |
| NPI Number | 1780455410 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780455410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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