| Lifeworks Counseling Center Llc | |
|
4 Windermere Blvd Charleston SC 29407-7412 | |
| (843) 901-1252 | |
| Not Available |
| Full Name | Lifeworks Counseling Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4 Windermere Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Patti Fisher (OWNER) |
| Authorized Official Contact | 6102238671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Counseling Center Llc 45 Sycamore Ave Apt 321 Charleston SC 29407-6717 Ph: () - | Lifeworks Counseling Center Llc 4 Windermere Blvd Charleston SC 29407-7412 Ph: (843) 901-1252 |
| NPI Number | 1497257026 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Medicare PECOS PAC ID | 7719248939 |
|---|---|
| Medicare Enrollment ID | O20180305002240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497257026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Patti S Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508056706 PECOS PAC ID: 8527286343 Enrollment ID: I20160817002177 |
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