| Northlynn Ty Rose Dupuis, LPC | |
|
440 Knox Abbott Dr Ste 400, Cayce, SC 29033-4353 | |
| (843) 501-1099 | |
| Not Available |
| Full Name | Northlynn Ty Rose Dupuis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 440 Knox Abbott Dr Ste 400, Cayce, 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 |
|---|---|---|---|
| 1164106316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | R10876 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | 8954 (South Carolina) | Primary |
| Entity Name | Charleston Counseling Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316375678 PECOS PAC ID: 6204125107 Enrollment ID: O20160517000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Northlynn Ty Rose Dupuis, LPC 440 Knox Abbott Dr Ste 400, Cayce, SC 29033-4353 Ph: (843) 501-1099 | Northlynn Ty Rose Dupuis, LPC 440 Knox Abbott Dr Ste 400, Cayce, SC 29033-4353 Ph: (843) 501-1099 |
Danielle Ardoin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 Commerce Dr, Cayce, SC 29033 Phone: 803-796-0353 | |
Mrs. Nan Qian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 Commerce Dr, Cayce, SC 29033 Phone: 803-796-6179 Fax: 803-796-0353 | |
Mrs. Kendra Myers, Counselor Medicare: Medicare Enrolled Practice Location: 2105 Commerce Dr, Cayce, SC 29033 Phone: 803-796-0353 | |
Britni Hartis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2105 Commerce Dr, Cayce, SC 29033 Phone: 803-796-6179 | |
Stephanie L Mckenny, LPC Counselor Medicare: Medicare Enrolled Practice Location: 440 Knotts Abott Drive, Suite 400, Cayce, SC 29033 Phone: 843-501-1099 | |
Robert Karpe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Knox Abbott Dr Ste 400, Cayce, SC 29033 Phone: 843-501-1099 Fax: 803-405-2040 |