| Coastal Tides Counseling | |
|
990 Lake Hunter Cir Suite 1a Mt Pleasant SC 29464-5426 | |
| (843) 324-1449 | |
| Not Available |
| Full Name | Coastal Tides Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 990 Lake Hunter Cir, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Julia Lee Lesch (OWNER AND PROVIDER) |
| Authorized Official Contact | 8436708954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Tides Counseling 990 Lake Hunter Cir Suite 1a Mt Pleasant SC 29464-5426 Ph: (843) 324-1449 | Coastal Tides Counseling 990 Lake Hunter Cir Suite 1a Mt Pleasant SC 29464-5426 Ph: (843) 324-1449 |
| NPI Number | 1831457985 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 09/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831457985 | NPI | - | NPPES |
| 6818 | Other | SC | LICENSED INDEPENDENT SOCIAL WORKER CP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6818 (South Carolina) | Primary |
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