| Mary Bieda, Llc | |
|
1321 Promenade Street Bluffton SC 29909 | |
| (843) 540-8788 | |
| (912) 238-3520 |
| Full Name | Mary Bieda, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1321 Promenade Street, Bluffton, South Carolina |
| Authorized Official Name and Position | Kimberly L Davis (CREDENTIALING SPECIALISTS) |
| Authorized Official Contact | 9124843879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Bieda, Llc 51 Star Flower Dr Bluffton SC 29909-6151 Ph: (843) 540-8788 | Mary Bieda, Llc 1321 Promenade Street Bluffton SC 29909 Ph: (843) 540-8788 |
| NPI Number | 1285056135 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 01/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285056135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5358 (South Carolina) | Primary |
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