| Randall Counseling And Therapy Services, Llc | |
|
1019 Highway 17 S Suite 109 North Myrtle Beach SC 29582-3702 | |
| (803) 701-9693 | |
| Not Available |
| Full Name | Randall Counseling And Therapy Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1019 Highway 17 S, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Venita Catrice Randall (MENTAL HEALTH CLINICAL COUNSELOR) |
| Authorized Official Contact | 7045611913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Counseling And Therapy Services, Llc Po Box 924 North Myrtle Beach SC 29597-0924 Ph: (803) 701-9693 | Randall Counseling And Therapy Services, Llc 1019 Highway 17 S Suite 109 North Myrtle Beach SC 29582-3702 Ph: (803) 701-9693 |
| NPI Number | 1245625193 |
|---|---|
| Provider Enumeration Date | 03/30/2015 |
| Last Update Date | 01/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245625193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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