| Seasons Psychological Associates, Llc | |
|
314 S Mcqueen St Florence SC 29501-4723 | |
| (843) 407-4440 | |
| (843) 407-4461 |
| Full Name | Seasons Psychological Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 314 S Mcqueen St, Florence, South Carolina |
| Authorized Official Name and Position | Andrea Lea Pritchard-boone (PRESIDENT) |
| Authorized Official Contact | 8434074440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Psychological Associates, Llc 314 S Mcqueen St Florence SC 29501-4723 Ph: (843) 407-4440 | Seasons Psychological Associates, Llc 314 S Mcqueen St Florence SC 29501-4723 Ph: (843) 407-4440 |
| NPI Number | 1376772335 |
|---|---|
| Provider Enumeration Date | 07/10/2009 |
| Last Update Date | 04/23/2015 |
| Medicare PECOS PAC ID | 1850577545 |
|---|---|
| Medicare Enrollment ID | O20110513000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376772335 | NPI | - | NPPES |
| GP5420 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1122 (South Carolina) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 1122 (South Carolina) | Secondary |
| Provider Name | Andrea Pritchard Boone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457580896 PECOS PAC ID: 5799839213 Enrollment ID: I20090819000009 |
| Provider Name | Christopher Leandrew Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073793931 PECOS PAC ID: 6305296849 Enrollment ID: I20231227000433 |
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