| Ms Renee Michelle Shaw, | |
|
1278 N Lafayette Dr, Sumter, SC 29150-2964 | |
| (803) 774-4500 | |
| (803) 774-4641 |
| Full Name | Ms Renee Michelle Shaw |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1278 N Lafayette Dr, Sumter, 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 |
|---|---|---|---|
| 1659321503 | NPI | - | NPPES |
| 372048 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5315 (South Carolina) | Primary |
| Entity Name | Essential Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265167563 PECOS PAC ID: 4880126549 Enrollment ID: O20241018002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Renee Michelle Shaw, 1278 N Lafayette Dr, Sumter, SC 29150-2964 Ph: (803) 774-4500 | Ms Renee Michelle Shaw, 1278 N Lafayette Dr, Sumter, SC 29150-2964 Ph: (803) 774-4500 |
Karan Godette, M.ED., M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 | |
Cynthia M Fazekas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Sumter, SC 29150 Phone: 803-775-5080 Fax: 803-773-6256 | |
Mrs. Ashley Moise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 N Guignard Dr, Sumter, SC 29150 Phone: 803-775-9364 | |
Ms. Jeemy D. Grate-pearson, Counselor Medicare: Not Enrolled in Medicare Practice Location: Swcmhc/act, 764 West Liberty St., 2 Medical Ct., Sumter, SC 29151 Phone: 803-778-4195 Fax: 803-778-6598 | |
Ms. Ponya J. Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 N Magnolia St, Sumter, SC 29150 Phone: 803-775-9364 Fax: 803-773-6615 | |
Ms. Lucie M. Moise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1278 N Lafayette Dr, Sumter, SC 29150 Phone: 803-774-4500 Fax: 803-774-4641 | |
Mr. Laddie N. Howard, Counselor Medicare: Not Enrolled in Medicare Practice Location: Swcmhc/carolina Place, 525 N. Lafayette Dr., Sumter, SC 29151 Phone: 803-775-6293 Fax: 803-775-3651 |