| Coastal Counseling And Supervision, Llc | |
|
884 Allbritton Blvd Ste 110 Mount Pleasant SC 29464-3092 | |
| (434) 414-5910 | |
| Not Available |
| Full Name | Coastal Counseling And Supervision, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 884 Allbritton Blvd Ste 110, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Lisa Dixon (OWNER) |
| Authorized Official Contact | 4434145910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Counseling And Supervision, Llc 1552 Strathene Ct Mount Pleasant SC 29466-9384 Ph: (443) 414-5910 | Coastal Counseling And Supervision, Llc 884 Allbritton Blvd Ste 110 Mount Pleasant SC 29464-3092 Ph: (434) 414-5910 |
| NPI Number | 1023810181 |
|---|---|
| Provider Enumeration Date | 03/26/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023810181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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