| Wildflower Center For Counseling | |
|
774 S Shelmore Blvd Ste 108 Mount Pleasant SC 29464-7625 | |
| (843) 936-2566 | |
| (843) 800-0073 |
| Full Name | Wildflower Center For Counseling |
|---|---|
| Speciality | Counselor |
| Location | 774 S Shelmore Blvd Ste 108, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Jennifer Higley (OWNER / MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8439362566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Center For Counseling 774 S Shelmore Blvd Ste 108 Mount Pleasant SC 29464-7625 Ph: (843) 936-2566 | Wildflower Center For Counseling 774 S Shelmore Blvd Ste 108 Mount Pleasant SC 29464-7625 Ph: (843) 936-2566 |
| NPI Number | 1780229146 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 08/22/2021 |
| Certification Date | 08/22/2021 |
| Medicare PECOS PAC ID | 1254710486 |
|---|---|
| Medicare Enrollment ID | O20220620000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780229146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Ellen P Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497939250 PECOS PAC ID: 8729160148 Enrollment ID: I20080313000100 |
| Provider Name | Kristin M Shulman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902875750 PECOS PAC ID: 8527079300 Enrollment ID: I20220622000991 |
| Provider Name | Devin Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417410994 PECOS PAC ID: 7719355205 Enrollment ID: I20221114002174 |
| Provider Name | Lisa Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083132062 PECOS PAC ID: 8123449402 Enrollment ID: I20230706004188 |
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