| Bluffton Okatie Counseling Center, LLC | |
|
61 Riverwalk Blvd Ste H Ridgeland SC 29936-3252 | |
| (843) 636-5017 | |
| (843) 206-0256 |
| Full Name | Bluffton Okatie Counseling Center, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 61 Riverwalk Blvd Ste H, Ridgeland, South Carolina |
| Authorized Official Name and Position | Leigh Diotalevi (ADMINISTRATOR) |
| Authorized Official Contact | 8436365017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluffton Okatie Counseling Center, LLC 61 Riverwalk Blvd Ste H Ridgeland SC 29936-3252 Ph: (843) 636-5017 | Bluffton Okatie Counseling Center, LLC 61 Riverwalk Blvd Ste H Ridgeland SC 29936-3252 Ph: (843) 636-5017 |
| NPI Number | 1225544562 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 4880956408 |
|---|---|
| Medicare Enrollment ID | O20180320001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225544562 | NPI | - | NPPES |
| PG1073 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11563 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Leigh Diotalevi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215394838 PECOS PAC ID: 7416219035 Enrollment ID: I20180508002077 |
| Provider Name | Mary Michael Hanbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316581960 PECOS PAC ID: 5698193472 Enrollment ID: I20200910001173 |
| Provider Name | Hevylla K Landing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922582923 PECOS PAC ID: 8628487642 Enrollment ID: I20210504001237 |
| Provider Name | Jena Bus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952019150 PECOS PAC ID: 7416327424 Enrollment ID: I20230109002924 |
| Provider Name | Kendra Malia Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467843821 PECOS PAC ID: 5698147734 Enrollment ID: I20230217001888 |
| Provider Name | Kalen H Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225743149 PECOS PAC ID: 4385183664 Enrollment ID: I20240830000470 |
| Provider Name | Mary Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962177758 PECOS PAC ID: 9335671635 Enrollment ID: I20241011000180 |
| Provider Name | Karen Bulson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780997916 PECOS PAC ID: 5597299255 Enrollment ID: I20241118001242 |
| Provider Name | Christina Bullard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518323872 PECOS PAC ID: 7618377110 Enrollment ID: I20250121001803 |
| Provider Name | Jada M Reilley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083397293 PECOS PAC ID: 5092244707 Enrollment ID: I20250124002758 |
| Provider Name | Tiffany J Irizarry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689294597 PECOS PAC ID: 5294264446 Enrollment ID: I20250203000192 |
| Provider Name | Sheila Dill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124427372 PECOS PAC ID: 8325569536 Enrollment ID: I20250304003242 |
| Provider Name | Krista L Hussey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1992585822 PECOS PAC ID: 6002383957 Enrollment ID: I20260428002170 |
Jasper County Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5666 |
South Carolina Online Counseling and Group Therapy, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Riverwalk Blvd Ste H, Ridgeland, SC 29936 Phone: 843-636-5017 Fax: 843-206-0256 |
Beaufort, Jasper, Hampton Comprehensive Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 N Okatie Hwy, Ridgeland, SC 29936 Phone: 843-987-7439 |
Jasper Therapy Group LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10616 S Jacob Smart Blvd Ste 103, Ridgeland, SC 29936 Phone: 843-310-1743 |
Wright Directions Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hazzard Creek Vlg Unit C, Ridgeland, SC 29936 Phone: 843-645-7700 Fax: 888-908-7339 |
Bright Light Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3319 Argent Blvd, Ridgeland, SC 29936 Phone: 508-521-2200 Fax: 508-427-2227 |