| Mynd Health Llc | |
|
1012 16th Ave Nw Ste 127 Surfside Beach SC 29575-5285 | |
| (843) 839-2140 | |
| (843) 443-4229 |
| Full Name | Mynd Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 1012 16th Ave Nw Ste 127, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Marcy A Cates (OWNER) |
| Authorized Official Contact | 8438392140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mynd Health Llc Po Box 2881 Murrells Inlet SC 29576-2665 Ph: (843) 839-2140 | Mynd Health Llc 1012 16th Ave Nw Ste 127 Surfside Beach SC 29575-5285 Ph: (843) 839-2140 |
| NPI Number | 1245744671 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Medicare PECOS PAC ID | 4880952647 |
|---|---|
| Medicare Enrollment ID | O20171227002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCSW11977 (South Carolina) | Primary |
| Provider Name | Marcy Ann Cates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033259718 PECOS PAC ID: 5799043550 Enrollment ID: I20171227002705 |
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