| Elasha Lavone Leary, MA | |
|
8377 Huntington Ct, Conway, SC 29527-7989 | |
| (180) 319-9523 | |
| Not Available |
| Full Name | Elasha Lavone Leary |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 8377 Huntington Ct, Conway, 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 |
|---|---|---|---|
| 1699119420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Elasha Lavone Leary, MA Po Box 1376, Conway, SC 29528-1376 Ph: (180) 319-9523 | Elasha Lavone Leary, MA 8377 Huntington Ct, Conway, SC 29527-7989 Ph: (180) 319-9523 |
Ms. Tawan Binnetta Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Latoya Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Sabrina Jelks, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Hanna Grace Hardee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884 | |
Jannie Lance Morant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Joseph E Dekine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060 | |
Susan Ann Mclean, LPC, NCC, CCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Waccamaw Medical Park Ct, Conway, SC 29526 Phone: 843-457-0946 |