Kids Counseling And Autism Therapeutic Center Company | |
5049 Oat Fields Dr Myrtle Beach SC 29588-3720 | |
(708) 289-6911 | |
Not Available |
Full Name | Kids Counseling And Autism Therapeutic Center Company |
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Speciality | Counselor - Mental Health |
Location | 5049 Oat Fields Dr, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Nicole L Haunroth (CEO AND PRESIDENT) |
Authorized Official Contact | 8439959025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Counseling And Autism Therapeutic Center Company 5049 Oat Fields Dr Myrtle Beach SC 29588-3720 Ph: (708) 289-6911 | Kids Counseling And Autism Therapeutic Center Company 5049 Oat Fields Dr Myrtle Beach SC 29588-3720 Ph: (708) 289-6911 |
NPI Number | 1881440279 |
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Provider Enumeration Date | 04/25/2024 |
Last Update Date | 04/25/2024 |
Certification Date | 04/25/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881440279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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