| Psychworks Counseling, Llc | |
|
4448 Highway 162 Hollywood SC 29449-5702 | |
| (843) 608-9319 | |
| Not Available |
| Full Name | Psychworks Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4448 Highway 162, Hollywood, South Carolina |
| Authorized Official Name and Position | Tyler William Eisenhart (OWNER/OPERATOR) |
| Authorized Official Contact | 8438228773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychworks Counseling, Llc 4448 Highway 162 Hollywood SC 29449-5702 Ph: (843) 608-9319 | Psychworks Counseling, Llc 4448 Highway 162 Hollywood SC 29449-5702 Ph: (843) 608-9319 |
| NPI Number | 1801526017 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 06/13/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526017 | NPI | - | NPPES |
| 1215389127 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |