| Mr Keith Stewart Mundis, LPC | |
|
311 Bennett Center Dr, Greer, SC 29650-1259 | |
| (864) 968-9687 | |
| (864) 968-9449 |
| Full Name | Mr Keith Stewart Mundis |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 47 Years |
| Location | 311 Bennett Center Dr, Greer, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720153380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1223 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Table Rock Integrated Health And Wellness Practice, Llc. | 0648462333 | 5 |
| Entity Name | Table Rock Integrated Health And Wellness Practice, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104145184 PECOS PAC ID: 0648462333 Enrollment ID: O20101013000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Stewart Mundis, LPC 311 Bennett Center Dr, Greer, SC 29650-1259 Ph: (864) 968-9687 | Mr Keith Stewart Mundis, LPC 311 Bennett Center Dr, Greer, SC 29650-1259 Ph: (864) 968-9687 |
Amanda Owens Banks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Parkway Commons Way, Greer, SC 29650 Phone: 864-877-7025 | |
Keeland Kelley Lodato, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 John St Ste 3b, Greer, SC 29651 Phone: 704-807-6555 | |
Alexandra Torres-cortes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 W Poinsett St, Greer, SC 29650 Phone: 864-524-9848 | |
Ms. Jeanette Latise Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12207 Daventry Cir, Greer, SC 29650 Phone: 864-361-5513 | |
Emilie Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Trade St Ste C, Greer, SC 29651 Phone: 864-358-9094 | |
Mrs. Julie Anne Stokes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Chesterton Ct, Greer, SC 29650 Phone: 864-884-8393 | |
June H Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Parkway Commons Way, Greer, SC 29650 Phone: 864-322-8342 Fax: 864-322-8342 |