| Dr Christie Rogers-larke, | |
|
104 Ross Common Run, Moore, SC 29369 | |
| (864) 597-2054 | |
| Not Available |
| Full Name | Dr Christie Rogers-larke |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 104 Ross Common Run, Moore, 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 |
|---|---|---|---|
| 1477849933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5222 (South Carolina) | Primary |
| Entity Name | Outside Of The Box Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386190288 PECOS PAC ID: 4183166424 Enrollment ID: O20240603000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christie Rogers-larke, Po Box 170581, Spartanburg, SC 29301 Ph: (864) 597-2054 | Dr Christie Rogers-larke, 104 Ross Common Run, Moore, SC 29369 Ph: (864) 597-2054 |
Malikah Mills, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3428 Woodcross Dr, Moore, SC 29369 Phone: 864-357-2444 | |
Emily Rundle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 946 Simmons Trce, Moore, SC 29369 Phone: 717-493-6333 | |
Tara Ferris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Graystone Dr, Moore, SC 29369 Phone: 864-384-2620 | |
Mrs. Priscilla Hennecy Jostes, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Bradford Drive, Moore, SC 29369 Phone: 864-381-8372 Fax: 864-778-8434 |