| Chad W Clardie, LPC | |
|
1340 Celebration Blvd, Florence, SC 29501-5585 | |
| (843) 536-1180 | |
| Not Available |
| Full Name | Chad W Clardie |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1340 Celebration Blvd, Florence, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548922974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9907 (South Carolina) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Entity Name | Wellspring Psychology Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255756565 PECOS PAC ID: 9537382692 Enrollment ID: O20140519002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad W Clardie, LPC 1340 Celebration Blvd, Florence, SC 29501-5585 Ph: (843) 536-1180 | Chad W Clardie, LPC 1340 Celebration Blvd, Florence, SC 29501-5585 Ph: (843) 536-1180 |
Lakyn Bendle, Counselor Medicare: Accepting Medicare Assignments Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 Fax: 843-667-1362 |
Mr. Bernard Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 E. National Cemetary Rd., Florence, SC 29506 Phone: 843-292-1027 Fax: 843-292-1030 |
Reghan Teressa Timmons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096 |
April Haynesworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096 |
Mrs. Stephanie Diane Thompson-otero, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Dargan St Ste 107, Florence, SC 29506 Phone: 843-618-4658 |
Mr. Levern Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4089 Fax: 843-317-4096 |
Mr. George Patrick Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 S Dargan St, Apt 4-d, Florence, SC 29506 Phone: 843-661-4718 Fax: 843-661-4722 |