| Palmetto Counseling Of Hartsville Llc | |
|
5003 Una Rd Hartsville SC 29550-1954 | |
| (843) 453-9985 | |
| Not Available |
| Full Name | Palmetto Counseling Of Hartsville Llc |
|---|---|
| Speciality | Counselor |
| Location | 5003 Una Rd, Hartsville, South Carolina |
| Authorized Official Name and Position | Jill Suzanne Kelley (LPC) |
| Authorized Official Contact | 8433074762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Counseling Of Hartsville Llc 5003 Una Rd Hartsville SC 29550-1954 Ph: (843) 453-9985 | Palmetto Counseling Of Hartsville Llc 5003 Una Rd Hartsville SC 29550-1954 Ph: (843) 453-9985 |
| NPI Number | 1619418779 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 5395185946 |
|---|---|
| Medicare Enrollment ID | O20240430000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619418779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5487 (South Carolina) | Primary |
| Provider Name | Deborah Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578872388 PECOS PAC ID: 3072953637 Enrollment ID: I20240613001168 |
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