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GRACEFUL TIDES COUNSELING SERVICE LLC NPI 1982367645


NPI Information

NPI: 1982367645
Provider Name: GRACEFUL TIDES COUNSELING SERVICE LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1297 PROFESSIONAL DR STE 102
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 284-3255
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GRACEFUL TIDES COUNSELING SERVICE LLC is a mental health counselor in Myrtle Beach, SC. GRACEFUL TIDES COUNSELING SERVICE LLC NPI is 1982367645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1297 PROFESSIONAL DR STE 102
MYRTLE BEACH, SC
ZIP 29577-713
Phone: (843) 284-3255

The provider's authorized official is Stacy Maloney .
The authorized official title is Owner Therapist and has the following contact phone number (843) 284-3255.

The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/20/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.