| Psychological & Counseling Associates Of The Lowcountry, Llc | |
|
23 Plantation Park Dr 202 Bluffton SC 29910-6038 | |
| (843) 290-6828 | |
| (843) 757-3993 |
| Full Name | Psychological & Counseling Associates Of The Lowcountry, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 23 Plantation Park Dr, Bluffton, South Carolina |
| Authorized Official Name and Position | Jessica Joyce (OWNER/PARTNER) |
| Authorized Official Contact | 9168786661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological & Counseling Associates Of The Lowcountry, Llc 41 Bainbridge Way Bluffton SC 29910-9539 Ph: (916) 878-6661 | Psychological & Counseling Associates Of The Lowcountry, Llc 23 Plantation Park Dr 202 Bluffton SC 29910-6038 Ph: (843) 290-6828 |
| NPI Number | 1174702096 |
|---|---|
| Provider Enumeration Date | 10/27/2007 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 0941365225 |
|---|---|
| Medicare Enrollment ID | O20090220000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174702096 | NPI | - | NPPES |
| GP4778 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maria Whittington Malcolm |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1770886301 PECOS PAC ID: 4587891247 Enrollment ID: I20131230001145 |
| Provider Name | Alison Beth Jedrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841484599 PECOS PAC ID: 7113177205 Enrollment ID: I20150108000255 |
| Provider Name | Philip Andrew Searcy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689000671 PECOS PAC ID: 8123324704 Enrollment ID: I20160725000549 |
| Provider Name | Susan E Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669032157 PECOS PAC ID: 9335476951 Enrollment ID: I20190806000159 |
| Provider Name | Jessica Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023204377 PECOS PAC ID: 4385074491 Enrollment ID: I20200601000679 |
| Provider Name | Daniel R Riggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467966887 PECOS PAC ID: 0749549988 Enrollment ID: I20210113003137 |
| Provider Name | Cara A O'donnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750046587 PECOS PAC ID: 7012300114 Enrollment ID: I20220214001950 |
| Provider Name | John Daniel Lajara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811124761 PECOS PAC ID: 9537514419 Enrollment ID: I20231012001792 |
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