COGNITIVE BEHAVIORAL CLINIC LLC NPI 1013316918

NPI Information

NPI: 1013316918
Provider Name: COGNITIVE BEHAVIORAL CLINIC LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
9403 HIGHWAY 707
SUITE B
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 450-0636
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COGNITIVE BEHAVIORAL CLINIC LLC is a professional counselor in Myrtle Beach, SC. COGNITIVE BEHAVIORAL CLINIC LLC NPI is 1013316918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9403 HIGHWAY 707
SUITE B
MYRTLE BEACH, SC
ZIP 29588-758
Phone: (843) 450-0636
Fax: (843) 215-4561

The provider's authorized official is James Edmond Garvey .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (843) 450-0636.

The enumeration date for this NPI number is 8/15/2014 and was last updated on 8/15/2014.

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	101YP2500X	Counselor	Professional	4121	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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