| Lifestance Health | |
|
871 Lowcountry Blvd Ste 200 Mount Pleasant SC 29464 | |
| (843) 501-1099 | |
| Not Available |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Counselor |
| Location | 871 Lowcountry Blvd Ste 200, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 4252798500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 871 Lowcountry Blvd Ste 200 Mount Pleasant SC 29464-3096 Ph: (843) 501-1099 | Lifestance Health 871 Lowcountry Blvd Ste 200 Mount Pleasant SC 29464 Ph: (843) 501-1099 |
| NPI Number | 1316375678 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 6204125107 |
|---|---|
| Medicare Enrollment ID | O20160517000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316375678 | NPI | - | NPPES |
| Provider Name | Donald S Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508894056 PECOS PAC ID: 6709781438 Enrollment ID: I20031204000999 |
| Provider Name | William B Walkup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386619948 PECOS PAC ID: 3678569365 Enrollment ID: I20040420001271 |
| Provider Name | Lisa Lewandowski Wischhusen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982645016 PECOS PAC ID: 2860422961 Enrollment ID: I20050818000312 |
| Provider Name | Christopher C Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922171511 PECOS PAC ID: 4789786310 Enrollment ID: I20070228000040 |
| Provider Name | Cheryl L Suber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245451269 PECOS PAC ID: 9739288085 Enrollment ID: I20070627000200 |
| Provider Name | Ellen P Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497939250 PECOS PAC ID: 8729160148 Enrollment ID: I20080313000100 |
| Provider Name | Andrea L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497931026 PECOS PAC ID: 7214067339 Enrollment ID: I20100615000851 |
| Provider Name | Derosset Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659331460 PECOS PAC ID: 5395932131 Enrollment ID: I20101207000096 |
| Provider Name | Ingrid Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447548672 PECOS PAC ID: 8224208004 Enrollment ID: I20110906000105 |
| Provider Name | Jeanette E Spence |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598076168 PECOS PAC ID: 5294909081 Enrollment ID: I20111111000696 |
| Provider Name | Laura S Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427349281 PECOS PAC ID: 1153580931 Enrollment ID: I20120314000566 |
| Provider Name | Robert C Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730274713 PECOS PAC ID: 7618123944 Enrollment ID: I20120801000966 |
| Provider Name | Markley N Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538357140 PECOS PAC ID: 1951544683 Enrollment ID: I20130828000833 |
| Provider Name | Joseph M Ritchey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598178402 PECOS PAC ID: 8022235589 Enrollment ID: I20140807001237 |
| Provider Name | Sandra G Mccloy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659774636 PECOS PAC ID: 0840512034 Enrollment ID: I20141125000152 |
| Provider Name | Erin G Puro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518255397 PECOS PAC ID: 1557686904 Enrollment ID: I20150206001398 |
| Provider Name | Angela D Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881982544 PECOS PAC ID: 3577664853 Enrollment ID: I20150709000018 |
| Provider Name | Sarah Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164866349 PECOS PAC ID: 9830482116 Enrollment ID: I20160725000720 |
| Provider Name | Carol Ann Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295952232 PECOS PAC ID: 8426207895 Enrollment ID: I20161219000421 |
| Provider Name | Dana M Szeles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922536598 PECOS PAC ID: 0547532467 Enrollment ID: I20170828000071 |
| Provider Name | Judy G Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669657987 PECOS PAC ID: 8921180217 Enrollment ID: I20170926002594 |
| Provider Name | Christina Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992223903 PECOS PAC ID: 3678831369 Enrollment ID: I20180102000703 |
| Provider Name | Patricia T Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578062584 PECOS PAC ID: 5698037786 Enrollment ID: I20180330000407 |
| Provider Name | Sonja Lynn Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346466877 PECOS PAC ID: 1052353737 Enrollment ID: I20180403000056 |
| Provider Name | Helen P Roupas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033172911 PECOS PAC ID: 4385837806 Enrollment ID: I20180514002123 |
| Provider Name | Cassidy C Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013407493 PECOS PAC ID: 9032467576 Enrollment ID: I20180731003040 |
| Provider Name | Dana Avallone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548681711 PECOS PAC ID: 1557610870 Enrollment ID: I20180821000149 |
| Provider Name | Jenna Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578919387 PECOS PAC ID: 8224381942 Enrollment ID: I20181026001114 |
| Provider Name | Angela Q Forand |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932160074 PECOS PAC ID: 9133203326 Enrollment ID: I20181106002655 |
| Provider Name | Stacey Lynn Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093226789 PECOS PAC ID: 2567720592 Enrollment ID: I20190312002652 |
| Provider Name | Christina Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124453329 PECOS PAC ID: 9638304926 Enrollment ID: I20190501001623 |
| Provider Name | Lori B Legrand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689849770 PECOS PAC ID: 5890012280 Enrollment ID: I20190906002425 |
| Provider Name | Heather G Kranz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992284558 PECOS PAC ID: 2567794464 Enrollment ID: I20191025001501 |
| Provider Name | Kareemah M Stepney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376990218 PECOS PAC ID: 1658703715 Enrollment ID: I20191112002167 |
| Provider Name | Claire Carpenter Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104296102 PECOS PAC ID: 2264867431 Enrollment ID: I20200115003176 |
| Provider Name | Candice M Fiorini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164999702 PECOS PAC ID: 2567892342 Enrollment ID: I20200417003158 |
| Provider Name | Sarah Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164677217 PECOS PAC ID: 6507297744 Enrollment ID: I20200504001193 |
| Provider Name | Michelle R Hammel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649525577 PECOS PAC ID: 2062735350 Enrollment ID: I20200507001957 |
| Provider Name | Donna Michele Maisano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285255497 PECOS PAC ID: 2567883234 Enrollment ID: I20200604001568 |
| Provider Name | Tanya L Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235751579 PECOS PAC ID: 0547684862 Enrollment ID: I20200721000083 |
| Provider Name | Bret Allen Guidry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588634554 PECOS PAC ID: 5496018178 Enrollment ID: I20200902003199 |
| Provider Name | Rosa C Dimarco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407259245 PECOS PAC ID: 1759796048 Enrollment ID: I20210218002165 |
| Provider Name | Maria T Bernard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902117518 PECOS PAC ID: 9133521321 Enrollment ID: I20210709002884 |
| Provider Name | Jill Lederman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154744431 PECOS PAC ID: 7416236450 Enrollment ID: I20210921002707 |
| Provider Name | Jillian R Tuso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720657547 PECOS PAC ID: 2264839489 Enrollment ID: I20210930000298 |
| Provider Name | Lucretia Denise Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184394090 PECOS PAC ID: 7810395662 Enrollment ID: I20211007002969 |
| Provider Name | Hannah Lynn Shay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639841729 PECOS PAC ID: 0749672780 Enrollment ID: I20220125000169 |
| Provider Name | Casey Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013671171 PECOS PAC ID: 3274925003 Enrollment ID: I20220127002306 |
| Provider Name | Lisa Marie Amodio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063415909 PECOS PAC ID: 0941271951 Enrollment ID: I20220203000811 |
| Provider Name | Michele Blanch-barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245319342 PECOS PAC ID: 9133512692 Enrollment ID: I20220204000002 |
| Provider Name | Tamara Cafaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629330238 PECOS PAC ID: 0547409526 Enrollment ID: I20220404000036 |
| Provider Name | Kari Lynn Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639823388 PECOS PAC ID: 4981091220 Enrollment ID: I20220504002975 |
| Provider Name | Amy Dawn James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427661255 PECOS PAC ID: 6305223967 Enrollment ID: I20220519002822 |
| Provider Name | Erica James Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487204434 PECOS PAC ID: 8921485376 Enrollment ID: I20220524002397 |
| Provider Name | Mallory Angela Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326522194 PECOS PAC ID: 4688052988 Enrollment ID: I20220527000017 |
| Provider Name | Jennifer Lee Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558788281 PECOS PAC ID: 7810375771 Enrollment ID: I20220606000018 |
| Provider Name | Mona Patricia Jafarian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841343589 PECOS PAC ID: 9335242742 Enrollment ID: I20220608000372 |
| Provider Name | Thelma Odoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548928419 PECOS PAC ID: 2668852393 Enrollment ID: I20220712000798 |
| Provider Name | Jon Bos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922123645 PECOS PAC ID: 0345569984 Enrollment ID: I20220804003341 |
| Provider Name | Zandra Chinae Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124370648 PECOS PAC ID: 8426274572 Enrollment ID: I20220811002500 |
| Provider Name | Shana Monique Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326356635 PECOS PAC ID: 0547413387 Enrollment ID: I20220811003903 |
| Provider Name | Eleanor Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20220822001319 |
| Provider Name | Darius D Poitier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235475757 PECOS PAC ID: 3870977143 Enrollment ID: I20220906001497 |
| Provider Name | Christopher Thomas Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730689951 PECOS PAC ID: 5698150738 Enrollment ID: I20220909003115 |
| Provider Name | Cora Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306592803 PECOS PAC ID: 4385029032 Enrollment ID: I20220915002049 |
| Provider Name | Emily Neger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184274714 PECOS PAC ID: 2466837869 Enrollment ID: I20220921003010 |
| Provider Name | Margaret Vansciver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992100028 PECOS PAC ID: 8123403433 Enrollment ID: I20220921003832 |
| Provider Name | Elizabeth Elaine Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225610728 PECOS PAC ID: 0941686166 Enrollment ID: I20220926001839 |
| Provider Name | Richard James Stoltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366616567 PECOS PAC ID: 1658537766 Enrollment ID: I20220929000217 |
| Provider Name | Maura Kathleen Castellanos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316528789 PECOS PAC ID: 3870969132 Enrollment ID: I20221012001299 |
| Provider Name | Erin Marie Dorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235545856 PECOS PAC ID: 7315313194 Enrollment ID: I20221019001654 |
| Provider Name | Pilar Reyna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184086977 PECOS PAC ID: 7719277136 Enrollment ID: I20221024001050 |
| Provider Name | Davis Brigman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003332404 PECOS PAC ID: 7416326640 Enrollment ID: I20221212000237 |
| Provider Name | Melissa M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558593392 PECOS PAC ID: 8224222070 Enrollment ID: I20221222001649 |
| Provider Name | Katherine Chille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336631878 PECOS PAC ID: 9032589031 Enrollment ID: I20230109002500 |
| Provider Name | Nicholas Anthony Germano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770182776 PECOS PAC ID: 2769852524 Enrollment ID: I20230112001026 |
| Provider Name | Quintara Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205572260 PECOS PAC ID: 8123499191 Enrollment ID: I20230130002674 |
| Provider Name | Susan Hall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588799373 PECOS PAC ID: 1052209210 Enrollment ID: I20230301001389 |
| Provider Name | James Strickland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881835312 PECOS PAC ID: 9234289109 Enrollment ID: I20230320002216 |
| Provider Name | Sarah B Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225383078 PECOS PAC ID: 0042676561 Enrollment ID: I20230525000647 |
| Provider Name | Maihan Aurah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942901517 PECOS PAC ID: 2466819974 Enrollment ID: I20230526001253 |
| Provider Name | Kathryn Hope |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942947494 PECOS PAC ID: 3173903077 Enrollment ID: I20230607002405 |
| Provider Name | Melanie Harris Fish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457482994 PECOS PAC ID: 2769840115 Enrollment ID: I20230616002917 |
| Provider Name | Treasure Vaughn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023274750 PECOS PAC ID: 8123419785 Enrollment ID: I20230622002505 |
| Provider Name | Consola Lombe Esambe Lobwede |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982264784 PECOS PAC ID: 5890155204 Enrollment ID: I20230718000063 |
| Provider Name | Haley Bednarz Holm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801590781 PECOS PAC ID: 4284095472 Enrollment ID: I20230803004207 |
| Provider Name | Dale Belluscio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255466520 PECOS PAC ID: 7911062898 Enrollment ID: I20230807002464 |
| Provider Name | Melissa Ann Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316083496 PECOS PAC ID: 9234584525 Enrollment ID: I20231005002668 |
| Provider Name | Victoria Dawn Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497448484 PECOS PAC ID: 8820443336 Enrollment ID: I20231018000933 |
| Provider Name | Kellie Ann Hilker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528126513 PECOS PAC ID: 7113372699 Enrollment ID: I20231018003872 |
| Provider Name | Elizabeth Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386974400 PECOS PAC ID: 3971634817 Enrollment ID: I20231018004175 |
| Provider Name | Gretchen K B Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487433728 PECOS PAC ID: 4385090331 Enrollment ID: I20231026002763 |
| Provider Name | Patrick Hugh Harmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740579432 PECOS PAC ID: 9133413768 Enrollment ID: I20231107000236 |
| Provider Name | Jill Laughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891987400 PECOS PAC ID: 7416377130 Enrollment ID: I20231108003487 |
| Provider Name | Ann R Drouse |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952799421 PECOS PAC ID: 5294184677 Enrollment ID: I20231211001505 |
| Provider Name | Mikala Milligan Adair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417636739 PECOS PAC ID: 1254780638 Enrollment ID: I20231211001679 |
| Provider Name | Lori Ann Insera |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962717991 PECOS PAC ID: 5193126266 Enrollment ID: I20231213002911 |
| Provider Name | Kendra Marie Suddeth Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265163687 PECOS PAC ID: 0648629519 Enrollment ID: I20231218002894 |
| Provider Name | Angela D Old |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245377621 PECOS PAC ID: 5698877371 Enrollment ID: I20231221000595 |
| Provider Name | Nicole Doris Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619663572 PECOS PAC ID: 0840640017 Enrollment ID: I20231229002166 |
| Provider Name | Thomas James Mott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306046933 PECOS PAC ID: 4486004579 Enrollment ID: I20240102003187 |
| Provider Name | Alba L Giraldo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235486457 PECOS PAC ID: 3870944580 Enrollment ID: I20240108000445 |
| Provider Name | Theodore Ruble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033698634 PECOS PAC ID: 9739522053 Enrollment ID: I20240202003442 |
| Provider Name | Gabri Michelle Benson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578224234 PECOS PAC ID: 6406290048 Enrollment ID: I20240222000437 |
| Provider Name | Debbie R Dechene |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336190057 PECOS PAC ID: 3870938657 Enrollment ID: I20240304000050 |
| Provider Name | Darlene D Chatman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992903702 PECOS PAC ID: 2961848114 Enrollment ID: I20240309000778 |
| Provider Name | Ashford Durham Weston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790223113 PECOS PAC ID: 4284070087 Enrollment ID: I20240315000677 |
Mdaspect Sc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 913 Bowman Rd Ste 104, Mount Pleasant, SC 29464 Phone: 919-210-6775 Fax: 828-327-2597 | |
Lynne Galbally Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Anna Knapp Ext, Suite 203, Mount Pleasant, SC 29464 Phone: 843-437-2845 | |
Meeting Milestones, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1511 Belle Point Dr, Mount Pleasant, SC 29464 Phone: 803-524-9715 | |
What Now, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2938 Highway 17 N, Mount Pleasant, SC 29466 Phone: 843-810-2455 | |
Strategic Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1485 Winton Rd, Mount Pleasant, SC 29464 Phone: 843-209-0690 Fax: 843-767-8101 | |
Coastal Neuropsychology Services, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1608 Paradise Lake Dr, Mount Pleasant, SC 29464 Phone: 860-997-4723 Fax: 860-997-4723 | |
Coastal Adolescent Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1135 Bowman Rd Ste 529c, Mount Pleasant, SC 29464 Phone: 843-849-9009 |