| Cassaundra Gamble-edwards, MA, LPC | |
|
430 Woodruff Rd Ste 450, Greenville, SC 29607-3443 | |
| (864) 400-5130 | |
| Not Available |
| Full Name | Cassaundra Gamble-edwards |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 430 Woodruff Rd Ste 450, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821499518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7810 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upstate Ellie Llc | 3577938224 | 8 |
| Entity Name | Upstate Ellie LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457073694 PECOS PAC ID: 3577938224 Enrollment ID: O20230411000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassaundra Gamble-edwards, MA, LPC 8595 Pelham Rd Ste 400, Greenville, SC 29615-5763 Ph: (864) 553-1076 | Cassaundra Gamble-edwards, MA, LPC 430 Woodruff Rd Ste 450, Greenville, SC 29607-3443 Ph: (864) 400-5130 |
Ms. Jessicka Spearman Childs, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Farrs Bridge Rd, Greenville, SC 29617 Phone: 864-383-0384 |
Andrew James Tallarico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Cleveland St, Greenville, SC 29607 Phone: 864-467-3790 |
Alyssa Cherise Livanos, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Pettigru St, Greenville, SC 29601 Phone: 864-271-3549 |
Nicole Mckinney, MS, LPC, CSOTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2510 Wade Hampton Blvd, Greenville, SC 29615 Phone: 864-509-0774 |
Jordan Sartain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-241-1040 |
Mrs. Prudence Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Woods Lake Rd Ste 712, Greenville, SC 29607 Phone: 864-242-0005 |
Sara Mcavoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-549-0222 |