| Supportive Care Of South Carolina Llc | |
|
734 York St Mt Pleasant SC 29464-2615 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Care Of South Carolina Llc |
|---|---|
| Speciality | Psychologist |
| Location | 734 York St, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Raphael Lichtschein (PRESIDENT) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Of South Carolina Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care Of South Carolina Llc 734 York St Mt Pleasant SC 29464-2615 Ph: (718) 298-4375 |
| NPI Number | 1417681412 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 7618352451 |
|---|---|
| Medicare Enrollment ID | O20220915001319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417681412 | NPI | - | NPPES |
| Provider Name | Cheryl L Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245451269 PECOS PAC ID: 9739288085 Enrollment ID: I20070627000200 |
| Provider Name | Rochel Hudson-snipes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528199460 PECOS PAC ID: 8628135613 Enrollment ID: I20090318000371 |
| Provider Name | Ryan Law Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417208091 PECOS PAC ID: 1052564523 Enrollment ID: I20130111000239 |
| Provider Name | Stacy L Joye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043697642 PECOS PAC ID: 7416261136 Enrollment ID: I20150812006338 |
| Provider Name | Mary Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639557531 PECOS PAC ID: 3971819608 Enrollment ID: I20150826001232 |
| Provider Name | Migina Timpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376031732 PECOS PAC ID: 2961751920 Enrollment ID: I20180823003401 |
| Provider Name | Cyril Aba Forcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831662048 PECOS PAC ID: 7618215922 Enrollment ID: I20190212002375 |
| Provider Name | Douglas M Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487742243 PECOS PAC ID: 5597845610 Enrollment ID: I20190410002778 |
| Provider Name | Brandi L Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629623202 PECOS PAC ID: 8921433905 Enrollment ID: I20200122000157 |
| Provider Name | William Riley Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696986 PECOS PAC ID: 1456782226 Enrollment ID: I20200511002510 |
| Provider Name | Elena Huttenlocher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194175992 PECOS PAC ID: 9436540093 Enrollment ID: I20211216000050 |
| Provider Name | Christyl Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396413092 PECOS PAC ID: 6800283557 Enrollment ID: I20220427000720 |
| Provider Name | Jennifer Lee Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558788281 PECOS PAC ID: 7810375771 Enrollment ID: I20220606000018 |
| Provider Name | Eleanor Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20220822001319 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20221010000531 |
| Provider Name | Osman Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942408265 PECOS PAC ID: 4082774286 Enrollment ID: I20221126000086 |
| Provider Name | Debra Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861799694 PECOS PAC ID: 7517268022 Enrollment ID: I20230103002067 |
| Provider Name | Candace Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942913694 PECOS PAC ID: 3779953831 Enrollment ID: I20230105002497 |
| Provider Name | Eva Torres Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164881736 PECOS PAC ID: 9032491022 Enrollment ID: I20230412002845 |
| Provider Name | Gilberto Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114021607 PECOS PAC ID: 1951710961 Enrollment ID: I20230412003131 |
| Provider Name | Eboni Frazier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780130963 PECOS PAC ID: 9133586589 Enrollment ID: I20230531001035 |
| Provider Name | Elizabeth Mcgee Klixbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881027316 PECOS PAC ID: 2668831496 Enrollment ID: I20230711002479 |
| Provider Name | Andrew Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20230823001989 |
| Provider Name | Kimberly Latashia Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861197337 PECOS PAC ID: 1052775954 Enrollment ID: I20230911003941 |
| Provider Name | Jody L Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023421344 PECOS PAC ID: 2769887132 Enrollment ID: I20231030001230 |
| Provider Name | Mona Balooch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023294204 PECOS PAC ID: 3577914837 Enrollment ID: I20240110005158 |
| Provider Name | Anna A Borsic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801661079 PECOS PAC ID: 4284077017 Enrollment ID: I20240208003804 |
| Provider Name | Michelle Hyatt Hyatt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134628514 PECOS PAC ID: 5395287403 Enrollment ID: I20240604003848 |
| Provider Name | Brittany L Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104474113 PECOS PAC ID: 8921400474 Enrollment ID: I20240729002355 |
| Provider Name | Theresa Trevethan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760736508 PECOS PAC ID: 7315238128 Enrollment ID: I20240730003575 |
| Provider Name | Kim R Sconyers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942351515 PECOS PAC ID: 8325586258 Enrollment ID: I20240809003239 |
| Provider Name | Angel Onley-livingston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952456469 PECOS PAC ID: 3971041500 Enrollment ID: I20240814003040 |
| Provider Name | Kya Coreisa Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558112110 PECOS PAC ID: 3678014545 Enrollment ID: I20240918003547 |
| Provider Name | Edward Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649728460 PECOS PAC ID: 0143508895 Enrollment ID: I20240925001869 |
| Provider Name | Melissa Whetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306321310 PECOS PAC ID: 3779821418 Enrollment ID: I20241024002764 |
| Provider Name | Tammy Mackins-hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063840940 PECOS PAC ID: 6709256647 Enrollment ID: I20241106000717 |
| Provider Name | April C Titus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922698364 PECOS PAC ID: 1052845435 Enrollment ID: I20241107001286 |
| Provider Name | Winter Albohaire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679221527 PECOS PAC ID: 1759815780 Enrollment ID: I20241113000793 |
| Provider Name | Laura Hetrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528498094 PECOS PAC ID: 7911431861 Enrollment ID: I20241114001529 |
| Provider Name | Damien Edward Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528382272 PECOS PAC ID: 0547794422 Enrollment ID: I20241114002781 |
| Provider Name | Shirley Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871092205 PECOS PAC ID: 2567872948 Enrollment ID: I20241209000465 |
Mt. Pleasant Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 874 Whipple Rd Ste 200, Mt Pleasant, SC 29464 Phone: 843-400-4089 Fax: 877-832-2114 | |
Bianca Jardin Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1050 Johnnie Dodds Blvd, #2381, Mt Pleasant, SC 29465 Phone: 812-401-0941 Fax: 843-480-9579 | |
Charleston Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 887 Johnnie Dodds Blvd, Suite 100, Mt Pleasant, SC 29464 Phone: 843-956-6998 Fax: 843-956-6997 | |
Magnolia Psychiatry Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Anna Knapp Ext, Mt Pleasant, SC 29464 Phone: 843-256-3326 | |
Carolina Family Psychiatry, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Coleman Blvd, Suite 201, Mt Pleasant, SC 29464 Phone: 843-971-9495 Fax: 843-971-9697 | |
Psychology Associates Of Nh Pleasant Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Johnnie Dodds Blvd, Suite 14b, Mt Pleasant, SC 29464 Phone: 843-884-3888 Fax: 843-884-8124 | |