LIFECARE COUNSELING LLC NPI 1235803883

NPI Information

NPI: 1235803883
Provider Name: LIFECARE COUNSELING LLC

Doing Business As: LIFECARE COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1293 PROFESSIONAL DR STE A-101
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 213-1307
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LIFECARE COUNSELING LLC is a mental health counselor in Myrtle Beach, SC. LIFECARE COUNSELING LLC NPI is 1235803883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifecare Counseling.

The provider's business location address is:

1293 PROFESSIONAL DR STE A-101
MYRTLE BEACH, SC
ZIP 29577-754
Phone: (843) 213-1307
Fax: (843) 962-5570

The provider's authorized official is Sandy Johnson .
The authorized official title is Owner/lpc and has the following contact phone number (843) 605-0514.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 6/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PG0661	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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