The Counseling Center Of Sayebrook | |
106 Lansford Court Suite 202 Myrtle Beach SC 29588 | |
(843) 213-2659 | |
Not Available |
Full Name | The Counseling Center Of Sayebrook |
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Speciality | Counselor |
Location | 106 Lansford Court Suite 202, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Christopher Dellicarpini (MANAGING MEMBER) |
Authorized Official Contact | 8282793699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Counseling Center Of Sayebrook 4 Mulberry Ln Mills River NC 28759-2670 Ph: (828) 279-3699 | The Counseling Center Of Sayebrook 106 Lansford Court Suite 202 Myrtle Beach SC 29588 Ph: (843) 213-2659 |
NPI Number | 1588124176 |
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Provider Enumeration Date | 03/21/2019 |
Last Update Date | 12/17/2019 |
Certification Date | 12/17/2019 |
Medicare PECOS PAC ID | 7012343866 |
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Medicare Enrollment ID | O20200214000748 |
Identifier | Type | State | Issuer |
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1588124176 | NPI | - | NPPES |
Provider Name | Bevin J Nixon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538351747 PECOS PAC ID: 0244419257 Enrollment ID: I20190927000316 |
Provider Name | Nicole Maria Bixler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578077715 PECOS PAC ID: 4880092147 Enrollment ID: I20211018001959 |
Provider Name | Amanda Dea Mercer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811393747 PECOS PAC ID: 0345581799 Enrollment ID: I20240411002024 |
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