| Juniper Tree Counseling Svcs, Llc | |
|
990 Lake Hunter Cir Ste 202 Mt Pleasant SC 29464-5426 | |
| (843) 881-4117 | |
| (843) 881-1455 |
| Full Name | Juniper Tree Counseling Svcs, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 990 Lake Hunter Cir Ste 202, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Myra Dorothea Pinckney (OWNER) |
| Authorized Official Contact | 8435348468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Tree Counseling Svcs, Llc 990 Lake Hunter Cir Ste 202 Mt Pleasant SC 29464-5426 Ph: (843) 881-4117 | Juniper Tree Counseling Svcs, Llc 990 Lake Hunter Cir Ste 202 Mt Pleasant SC 29464-5426 Ph: (843) 881-4117 |
| NPI Number | 1992343982 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Medicare PECOS PAC ID | 1254743479 |
|---|---|
| Medicare Enrollment ID | O20201212000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992343982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Myra Dorothea Pinckney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316197353 PECOS PAC ID: 8426326653 Enrollment ID: I20170613000390 |
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