ILLYANA MARIE ANNUNZIATO MA LPC BC-TMH NCC NPI 1720664022

NPI Information

NPI: 1720664022
Provider Name: ILLYANA MARIE ANNUNZIATO, MA, LPC, BC-TMH, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
4466 HOLMESTOWN RD
MYRTLE BEACH, SC
ZIP 29588
Phone: (585) 329-5064
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Illyana Marie Annunziato, MA, LPC, BC-TMH, NCC is a mental health counselor in Myrtle Beach, SC. Illyana Marie Annunziato, MA, LPC, BC-TMH, NCC NPI is 1720664022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4466 HOLMESTOWN RD
MYRTLE BEACH, SC
ZIP 29588-490
Phone: (585) 329-5064

The NPI 1720664022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/19/2021.

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	7105	SOUTH CAROLINA	Yes

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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