| Phyllis Kathleen Azzarito, | |
|
68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 | |
| (855) 284-7483 | |
| (617) 807-0958 |
| Full Name | Phyllis Kathleen Azzarito |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 33 Years |
| Location | 68 Pointe Cir Ste 3201, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013687797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7844 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifesource Of North Carolina | 7416132428 | 163 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Kathleen Azzarito, 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 Ph: (855) 284-7483 | Phyllis Kathleen Azzarito, 68 Pointe Cir Ste 3201, Greenville, SC 29615-6307 Ph: (855) 284-7483 |
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 |