| Center for Counseling & Wellness | |
|
110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 | |
| (843) 663-0770 | |
| (843) 663-0772 |
| Full Name | Center for Counseling & Wellness |
|---|---|
| Speciality | Counselor |
| Location | 110 Ye Olde Kings Hwy, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Roberta J Bogle (DIRECTOR) |
| Authorized Official Contact | 8436630770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Counseling & Wellness 110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 Ph: (843) 663-0770 | Center for Counseling & Wellness 110 Ye Olde Kings Hwy North Myrtle Beach SC 29582-3050 Ph: (843) 663-0770 |
| NPI Number | 1538439450 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Medicare PECOS PAC ID | 1052552973 |
|---|---|
| Medicare Enrollment ID | O20130718000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538439450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5005 (South Carolina) | Primary |
| Provider Name | Patsy G Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609032630 PECOS PAC ID: 2365401700 Enrollment ID: I20041011000056 |
| Provider Name | Marie Lise Linda Conner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770247280 PECOS PAC ID: 5698125599 Enrollment ID: I20240208003088 |
| Provider Name | Montgomery Calbert Prescod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437775194 PECOS PAC ID: 9931547601 Enrollment ID: I20240401003397 |
| Provider Name | Amanda Dawn Ritz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710839626 PECOS PAC ID: 8820561897 Enrollment ID: I20260623000005 |
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