| Maurissa Nicole Mcculloch, LPC | |
|
108 Woodland Creek Way, Travelers Rest, SC 29690-8490 | |
| (864) 640-6825 | |
| Not Available |
| Full Name | Maurissa Nicole Mcculloch |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 108 Woodland Creek Way, Travelers Rest, 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 |
|---|---|---|---|
| 1669290441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10294 (South Carolina) | Primary |
| Entity Name | Upstate Ellie Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457073694 PECOS PAC ID: 3577938224 Enrollment ID: O20230411000910 |
| Mailing Address | Practice Location Address |
|---|---|
| Maurissa Nicole Mcculloch, LPC 108 Woodland Creek Way, Travelers Rest, SC 29690-8490 Ph: (864) 640-6825 | Maurissa Nicole Mcculloch, LPC 108 Woodland Creek Way, Travelers Rest, SC 29690-8490 Ph: (864) 640-6825 |
Gabrielle Bedell, LCP-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 6715 State Park Rd, Travelers Rest, SC 29690 Phone: 864-774-4369 | |
Montaree Elise Mccurley, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6715 State Park Rd, Travelers Rest, SC 29690 Phone: 864-221-4815 | |
Jennilyn Harvey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Wheatfield Ct, Travelers Rest, SC 29690 Phone: 856-381-3416 | |
Dr. Rosalind H. Wood, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 94 Robertson Cir, Travelers Rest, SC 29690 Phone: 864-834-4621 | |
Heidi E. Rinehart, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Center St, Travelers Rest, SC 29690 Phone: 864-834-5772 | |
Mr. Russell Allen Rinehart, MA, LPCA, ASAT, MDIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 3598 Highway 11 Ste 202, Travelers Rest, SC 29690 Phone: 864-365-6113 | |
Nathan Lee Tate, MSW, LMSW, LCSWA Counselor Medicare: Medicare Enrolled Practice Location: 214 Love Dr., Travelers Rest, SC 29690 Phone: 336-202-4674 |