| Oceanic Counseling Group Llc | |
|
215 Ronnie Ct Ste C Myrtle Beach SC 29579-4204 | |
| (843) 894-0000 | |
| (843) 589-9054 |
| Full Name | Oceanic Counseling Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 215 Ronnie Ct Ste C, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Kenza Grace Haddock (COUNSELOR) |
| Authorized Official Contact | 8438556051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanic Counseling Group Llc Po Box 16091 Surfside Beach SC 29587-6091 Ph: (843) 267-4690 | Oceanic Counseling Group Llc 215 Ronnie Ct Ste C Myrtle Beach SC 29579-4204 Ph: (843) 894-0000 |
| NPI Number | 1922631522 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 4486067600 |
|---|---|
| Medicare Enrollment ID | O20210107002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922631522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tricia M Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356740351 PECOS PAC ID: 1355631029 Enrollment ID: I20160608001790 |
| Provider Name | Bonnie P Appi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831537976 PECOS PAC ID: 8426396573 Enrollment ID: I20190214001876 |
| Provider Name | Diana Loffredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083035315 PECOS PAC ID: 0042550378 Enrollment ID: I20190322000580 |
| Provider Name | Susan Kraus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790303923 PECOS PAC ID: 2365855103 Enrollment ID: I20210115000480 |
| Provider Name | Melissa Marie Johansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750820973 PECOS PAC ID: 6709299571 Enrollment ID: I20210115001957 |
| Provider Name | Maureen L Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447454681 PECOS PAC ID: 4981698305 Enrollment ID: I20210618001997 |
| Provider Name | Rebecca A Griffith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306450739 PECOS PAC ID: 9537564950 Enrollment ID: I20211027002262 |
| Provider Name | Julie A Denicola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922320258 PECOS PAC ID: 1557498797 Enrollment ID: I20211203002318 |
| Provider Name | June N Collier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851975940 PECOS PAC ID: 4880089002 Enrollment ID: I20220324001210 |
| Provider Name | Gilberto Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114021607 PECOS PAC ID: 1951710961 Enrollment ID: I20230412003131 |
| Provider Name | Elizabeth Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699925875 PECOS PAC ID: 0840646576 Enrollment ID: I20231031003805 |
| Provider Name | Michelle Ruth Reinsmith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932783784 PECOS PAC ID: 1254781461 Enrollment ID: I20240102000074 |
| Provider Name | Corey Aaron Bjerken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356038814 PECOS PAC ID: 9133571698 Enrollment ID: I20240119002668 |
| Provider Name | Carrie Towle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144542267 PECOS PAC ID: 7911229729 Enrollment ID: I20240119003058 |
| Provider Name | Tobie Mabe-smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649623166 PECOS PAC ID: 4880989292 Enrollment ID: I20240201004098 |
| Provider Name | Courtnie Carolyn Merrill-perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588111231 PECOS PAC ID: 9537493531 Enrollment ID: I20240207003981 |
| Provider Name | John Kenneth Falls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689173627 PECOS PAC ID: 1153764758 Enrollment ID: I20240212000617 |
| Provider Name | Austin Jeffords Rowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689148165 PECOS PAC ID: 8628412012 Enrollment ID: I20240213003511 |
| Provider Name | Donna Leigh Leitner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811037765 PECOS PAC ID: 5597044180 Enrollment ID: I20240222000525 |
| Provider Name | Rayniece K. Pinckney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558880500 PECOS PAC ID: 7618315300 Enrollment ID: I20240401000556 |
| Provider Name | David Thomas Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447341953 PECOS PAC ID: 3375560246 Enrollment ID: I20240403003851 |
| Provider Name | Ann Howell Brandon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902211535 PECOS PAC ID: 0244679413 Enrollment ID: I20240420000002 |
| Provider Name | Racene R Lawes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801353768 PECOS PAC ID: 1052751641 Enrollment ID: I20240430001709 |
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