| Klf Counseling & Consulting, Pa | |
|
1107 48th Ave N Myrtle Beach SC 29577-5443 | |
| (843) 240-9446 | |
| (866) 647-6536 |
| Full Name | Klf Counseling & Consulting, Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1107 48th Ave N, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kathy Lee Fortner (PRESIDENT-OWNER) |
| Authorized Official Contact | 8432409446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klf Counseling & Consulting, Pa Po Box 7139 Myrtle Beach SC 29572-0007 Ph: (843) 240-9446 | Klf Counseling & Consulting, Pa 1107 48th Ave N Myrtle Beach SC 29577-5443 Ph: (843) 240-9446 |
| NPI Number | 1609366699 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609366699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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