| Miss Susan Coolidge Woods, | |
|
124 Mallard St, Greenville, SC 29601-4046 | |
| (864) 241-1040 | |
| (864) 241-8189 |
| Full Name | Miss Susan Coolidge Woods |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 124 Mallard St, Greenville, 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 |
|---|---|---|---|
| 1790161610 | NPI | - | NPPES |
| 301100 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Kaleidoscope Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922542950 PECOS PAC ID: 9931526688 Enrollment ID: O20200826003890 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Susan Coolidge Woods, 124 Mallard St, Greenville, SC 29601-4046 Ph: (864) 241-1040 | Miss Susan Coolidge Woods, 124 Mallard St, Greenville, SC 29601-4046 Ph: (864) 241-1040 |
Ms. Jessicka Spearman Childs, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Farrs Bridge Rd, Greenville, SC 29617 Phone: 864-383-0384 | |
Andrew James Tallarico, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 Cleveland St, Greenville, SC 29607 Phone: 864-467-3790 | |
Alyssa Cherise Livanos, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Pettigru St, Greenville, SC 29601 Phone: 864-271-3549 | |
Nicole Mckinney, MS, LPC, CSOTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2510 Wade Hampton Blvd, Greenville, SC 29615 Phone: 864-509-0774 | |
Jordan Sartain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-241-1040 | |
Sara Mcavoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Mallard St, Greenville, SC 29601 Phone: 864-549-0222 | |
Daniel Lucas Beckner, ADC-IP Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Brozzini Ct Ste A, Greenville, SC 29615 Phone: 800-805-6989 |