| Miss Meliza Mangco Ford, LMFT, LPC | |
| 
					418 Stephanie Dr, Goose Creek, SC 29445-3542  | |
| (843) 425-4109 | |
| Not Available | 
| Full Name | Miss Meliza Mangco Ford | 
|---|---|
| Gender | Female | 
| Speciality | Marriage & Family Therapist | 
| Location | 418 Stephanie Dr, Goose Creek, South Carolina | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487804985 | NPI | - | NPPES | 
| 423976 | Other | MHN PROVIDER NUMBER (PIN) | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4849 (South Carolina) | Secondary | 
| 106H00000X | Marriage & Family Therapist | 4501 (South Carolina) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miss Meliza Mangco Ford, LMFT, LPC 418 Stephanie Dr, Goose Creek, SC 29445-3542 Ph: (843) 425-4109  | Miss Meliza Mangco Ford, LMFT, LPC 418 Stephanie Dr, Goose Creek, SC 29445-3542 Ph: (843) 425-4109  | 
Karen L Brown, LMFT, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 597 Old Mount Holly Rd Ste 203, Goose Creek, SC 29445 Phone: 843-410-2750 Fax: 843-410-2751  |