ARISE COUNSELING AND CLINICAL SERVICES NPI 1619564929

NPI Information

NPI: 1619564929
Provider Name: ARISE COUNSELING AND CLINICAL SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1293 PROFESSIONAL DR STE D222
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 606-6870
Get Directions

ARISE COUNSELING AND CLINICAL SERVICES is a professional counselor in Myrtle Beach, SC. ARISE COUNSELING AND CLINICAL SERVICES NPI is 1619564929. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1293 PROFESSIONAL DR STE D222
MYRTLE BEACH, SC
ZIP 29577-754
Phone: (843) 606-6870
Fax: (843) 212-6075

The provider's authorized official is Shannon Long .
The authorized official title is Lpc Ncc and has the following contact phone number (843) 333-2416.

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

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			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	1588995799	OTHER	SOUTH CAROLINA	BLUE CROSS BLUE SHIELD
2	1588995799	MEDICAID	SOUTH CAROLINA
3	1184176554	OTHER	SOUTH CAROLINA	BLUE CROSS BLUE SHIELD, AETNA, CIGNA, UNITED HEALTHCARE, OPTUM, PAI
4	1184176554	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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