Rex Alan Dula Jr, LPC | |
1 Carriage Ln Ste 205, Charleston, SC 29407-6060 | |
(843) 608-0592 | |
(854) 800-0322 |
Full Name | Rex Alan Dula Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1 Carriage Ln Ste 205, Charleston, 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 |
---|---|---|---|
1194335596 | NPI | - | NPPES |
PC2743 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 8948 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 8948 (South Carolina) | Primary |
Entity Name | Breathe Life Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649927492 PECOS PAC ID: 2365881869 Enrollment ID: O20240417000654 |
Mailing Address | Practice Location Address |
---|---|
Rex Alan Dula Jr, LPC 1 Carriage Ln Ste 205, Charleston, SC 29407-6060 Ph: (843) 608-0592 | Rex Alan Dula Jr, LPC 1 Carriage Ln Ste 205, Charleston, SC 29407-6060 Ph: (843) 608-0592 |
Mrs. Christi J. Wright, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3125 Ashley Phosphate Rd, Suite 117, Charleston, SC 29418 Phone: 843-552-1220 Fax: 843-552-0502 | |
Dr. John Moss Painter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Joyce A Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Cheryl S Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Tiffany Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Rebecca Winstead, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 | |
Mr. Ian Rivers Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-852-4100 |