| Surfside Counseling, Llc | |
|
1500 North Hwy 17 Business Suite 104 Surfside Beach SC 29575 | |
| (843) 333-8624 | |
| (888) 274-0122 |
| Full Name | Surfside Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1500 North Hwy 17 Business, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Kristina Carter Goodall (COUNSELOR) |
| Authorized Official Contact | 8433338624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Counseling, Llc 1500 North Hwy 17 Business Suite 104 Surfside Beach SC 29575 Ph: (843) 333-8624 | Surfside Counseling, Llc 1500 North Hwy 17 Business Suite 104 Surfside Beach SC 29575 Ph: (843) 333-8624 |
| NPI Number | 1518430693 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518430693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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