| Sonoran Concepts, Llc | |
|
1304 Azalea Ct Suite C Myrtle Beach SC 29577 | |
| (843) 446-0541 | |
| Not Available |
| Full Name | Sonoran Concepts, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1304 Azalea Ct, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Melissa Tyler Todd (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8434460541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoran Concepts, Llc 1304 Azalea Ct Suite C Myrtle Beach SC 29577 Ph: (843) 446-0541 | Sonoran Concepts, Llc 1304 Azalea Ct Suite C Myrtle Beach SC 29577 Ph: (843) 446-0541 |
| NPI Number | 1902045024 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902045024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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