| Stacha N Burgess, | |
|
108 Central Ave Ste 3, Goose Creek, SC 29445-3079 | |
| (843) 789-4464 | |
| (843) 970-2411 |
| Full Name | Stacha N Burgess |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 108 Central Ave Ste 3, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265784037 | NPI | - | NPPES |
| 1760596480 | Medicaid | SC | |
| 1265784037 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 6073 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | LPCI-5514 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacha N Burgess, 108 Central Ave Ste 3, Goose Creek, SC 29445-3079 Ph: (843) 789-4464 | Stacha N Burgess, 108 Central Ave Ste 3, Goose Creek, SC 29445-3079 Ph: (843) 789-4464 |
Joni Wiggins, Lpc, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Central Ave, Suite 5, Goose Creek, SC 29445 Phone: 843-478-9441 | |
Mr. Terrell Montague, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 Fax: 843-797-8638 | |
Sasha Stukes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 | |
Jessica Beanard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Wisteria Rd, Goose Creek, SC 29445 Phone: 843-797-7871 | |
Amanda Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Eston Dr, Goose Creek, SC 29445 Phone: 803-899-5283 | |
Alandria Mustafa, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100a Central Ave Ste 206, Goose Creek, SC 29445 Phone: 954-993-4270 | |
Renee Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Greenland Dr, Goose Creek, SC 29445 Phone: 864-605-1449 |