| Jennifer Brown, LPC | |
|
1104 Lombardy St, Marion, SC 29571-2005 | |
| (843) 431-1100 | |
| (843) 431-1103 |
| Full Name | Jennifer Brown |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1104 Lombardy St, Marion, 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 |
|---|---|---|---|
| 1598881799 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3801 (South Carolina) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200602000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brown, LPC 125 E Cheves St, Florence, SC 29506-2526 Ph: (843) 317-4089 | Jennifer Brown, LPC 1104 Lombardy St, Marion, SC 29571-2005 Ph: (843) 431-1100 |
Ginger Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Gretchen Whitman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 N Main St, Marion, SC 29571 Phone: 843-423-1811 Fax: 843-423-1811 | |
Mr. Elbert Wynn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Bluff St, Marion, SC 29571 Phone: 843-431-1105 Fax: 843-431-1112 | |
Valencia S Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Cindy Moody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 Nw Court St, Marion, SC 29571 Phone: 843-423-8292 Fax: 843-423-8294 | |
Willie Edward Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1104 Lombardy St, Marion, SC 29571 Phone: 843-431-1100 Fax: 843-431-1103 | |
Mrs. Vanessa Burgess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1104 Lombardy St, Marion, SC 29571 Phone: 843-431-1100 Fax: 843-431-1103 |