| Limited Liability Corporation | |
|
27 Gamecock Ave Suite #202 Charleston SC 29407 | |
| (843) 763-5837 | |
| (843) 852-5259 |
| Full Name | Limited Liability Corporation |
|---|---|
| Speciality | Counselor |
| Location | 27 Gamecock Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Helen Elliott Wheeler (DIRECTOR) |
| Authorized Official Contact | 8437635837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limited Liability Corporation Po Box 1470 Mt Pleasant SC 29465-1470 Ph: (843) 224-1782 | Limited Liability Corporation 27 Gamecock Ave Suite #202 Charleston SC 29407 Ph: (843) 763-5837 |
| NPI Number | 1376554352 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376554352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC3888 (South Carolina) | Primary |
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