| Pivotal Solutions, Llc | |
|
400 George Bishop Pkwy Myrtle Beach SC 29579-7338 | |
| (843) 236-1157 | |
| (844) 599-6538 |
| Full Name | Pivotal Solutions, Llc |
|---|---|
| Speciality | Counselor |
| Location | 400 George Bishop Pkwy, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | D S Cox (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8435918781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Solutions, Llc 1750 Highway 160 W # 101-281 Fort Mill SC 29708-8009 Ph: (843) 591-8781 | Pivotal Solutions, Llc 400 George Bishop Pkwy Myrtle Beach SC 29579-7338 Ph: (843) 236-1157 |
| NPI Number | 1346634359 |
|---|---|
| Provider Enumeration Date | 03/27/2015 |
| Last Update Date | 02/06/2018 |
| Medicare PECOS PAC ID | 3577835222 |
|---|---|
| Medicare Enrollment ID | O20240515002466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346634359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Demeatra Shauntel Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669983540 PECOS PAC ID: 8426320185 Enrollment ID: I20240515002637 |
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