| Lowcountry Behavioral Pediatrics, Llc | |
|
1525 Sam Rittenberg Blvd Ste 103 Charleston SC 29407-4139 | |
| (509) 680-0093 | |
| Not Available |
| Full Name | Lowcountry Behavioral Pediatrics, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1525 Sam Rittenberg Blvd Ste 103, Charleston, South Carolina |
| Authorized Official Name and Position | Ashley Marie Fowler (SOLE PROPRIETOR) |
| Authorized Official Contact | 5096800093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Behavioral Pediatrics, Llc 939 Cottingham Dr Mount Pleasant SC 29464-3501 Ph: (509) 680-0093 | Lowcountry Behavioral Pediatrics, Llc 1525 Sam Rittenberg Blvd Ste 103 Charleston SC 29407-4139 Ph: (509) 680-0093 |
| NPI Number | 1942950423 |
|---|---|
| Provider Enumeration Date | 03/27/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942950423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Musc Physicians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Medical University Of Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 President St, Charleston, SC 29425 Phone: 843-792-0028 | |
Pluff Mud Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 896 Kushiwah Creek Dr, Charleston, SC 29412 Phone: 843-259-0591 Fax: 843-769-7288 | |
Good Deeds Case Management Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Secessionville Rd, Charleston, SC 29412 Phone: 843-697-4587 | |
Avondale Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 Savannah Hwy, Suite 1c, Charleston, SC 29407 Phone: 843-870-0278 | |
Charleston Mental Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Cumberland St Ste 120, Charleston, SC 29401 Phone: 843-367-3490 | |
Roper Saint Francis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 135, Charleston, SC 29414 Phone: 843-958-2555 |