| Margaret Koon Lisw-cp Llc | |
|
880 S Pleasantburg Dr Ste 4e Greenville SC 29607-2453 | |
| (864) 479-4053 | |
| (864) 516-8994 |
| Full Name | Margaret Koon Lisw-cp Llc |
|---|---|
| Speciality | Social Worker |
| Location | 880 S Pleasantburg Dr Ste 4e, Greenville, South Carolina |
| Authorized Official Name and Position | Margaret Koon (CLINICAL THERAPIST /OWNER) |
| Authorized Official Contact | 8644794053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret Koon Lisw-cp Llc Po Box 31514 Greenville SC 29608-1514 Ph: (864) 479-4053 | Margaret Koon Lisw-cp Llc 880 S Pleasantburg Dr Ste 4e Greenville SC 29607-2453 Ph: (864) 479-4053 |
| NPI Number | 1619608122 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 5395125249 |
|---|---|
| Medicare Enrollment ID | O20220708002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619608122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Margaret Koon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598137341 PECOS PAC ID: 6204216153 Enrollment ID: I20220708002902 |
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