| Rediscover Wellness, Llc | |
|
9695 Seminole Way Summerville SC 29485-8088 | |
| (502) 381-0041 | |
| Not Available |
| Full Name | Rediscover Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 9695 Seminole Way, Summerville, South Carolina |
| Authorized Official Name and Position | Jill M Minogue (OWNER) |
| Authorized Official Contact | 5023810041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rediscover Wellness, Llc 9695 Seminole Way Summerville SC 29485-8088 Ph: (502) 381-0041 | Rediscover Wellness, Llc 9695 Seminole Way Summerville SC 29485-8088 Ph: (502) 381-0041 |
| NPI Number | 1538947890 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2062855331 |
|---|---|
| Medicare Enrollment ID | O20240205000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538947890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jill M Minogue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235350323 PECOS PAC ID: 3971946245 Enrollment ID: I20240205000709 |
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