Lacinda A Mccormack, | |
916 Reynolds Rd, Barnwell, SC 29812-6358 | |
(803) 259-7170 | |
(803) 259-2934 |
Full Name | Lacinda A Mccormack |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 916 Reynolds Rd, Barnwell, 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 |
---|---|---|---|
1326361544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356397228 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705 |
Mailing Address | Practice Location Address |
---|---|
Lacinda A Mccormack, 1135 Gregg Hwy, Aiken, SC 29801-6341 Ph: (803) 641-7700 | Lacinda A Mccormack, 916 Reynolds Rd, Barnwell, SC 29812-6358 Ph: (803) 259-7170 |
Tracy Hicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 803-541-1245 Fax: 803-541-1247 | |
Mr. Larry D Christy, CACI-IN PROCESS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 803-541-1245 Fax: 803-541-1247 | |
Kaquia Lesha Heyward, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-7170 | |
Tonya Lashell Aiken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 803-541-1245 | |
Brenda Sept, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 893-541-1245 Fax: 803-541-1247 | |
Shannon G Sheppard, CPPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Jackson St, Barnwell, SC 29812 Phone: 803-541-1245 Fax: 803-541-1247 | |
Mrs. Lenzie Beasley Brant, M.S. Counselor Medicare: Medicare Enrolled Practice Location: 916 Reynolds Road, Barnwell, SC 29812 Phone: 803-259-7170 Fax: 803-259-2934 |