Karen Marcella Smith, MA, LPCA | |
1836 Savannah Hwy, North, SC 29112-9606 | |
(803) 915-1831 | |
Not Available |
Full Name | Karen Marcella Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1836 Savannah Hwy, North, 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 |
---|---|---|---|
1629748678 | NPI | - | NPPES |
872715632 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 8337 (South Carolina) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200602000701 |
Entity Name | Synchronous Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801381637 PECOS PAC ID: 8820324874 Enrollment ID: O20220314000244 |
Mailing Address | Practice Location Address |
---|---|
Karen Marcella Smith, MA, LPCA 1836 Savannah Hwy, North, SC 29112-9606 Ph: (445) 888-5701 | Karen Marcella Smith, MA, LPCA 1836 Savannah Hwy, North, SC 29112-9606 Ph: (803) 915-1831 |
Dr. Cassandra Jo Moore, PHD, MA, LPC, LPC/S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3122 Savannah Hwy, North, SC 29112 Phone: 803-604-6253 Fax: 855-397-9171 | |
Asia Wise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Derrick St, North, SC 29112 Phone: 803-226-4356 |