| Cognitive & Behavioral Health Center Of Charleston, Llc | |
|
29 Leinbach Dr Suite D2 Charleston SC 29407-7071 | |
| (843) 501-7001 | |
| (843) 501-7542 |
| Full Name | Cognitive & Behavioral Health Center Of Charleston, Llc |
|---|---|
| Speciality | Counselor |
| Location | 29 Leinbach Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Jeannine Monnier (CO-DIRECTOR) |
| Authorized Official Contact | 8435017001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive & Behavioral Health Center Of Charleston, Llc Po Box 31106 Charleston SC 29417-1106 Ph: (843) 501-7001 | Cognitive & Behavioral Health Center Of Charleston, Llc 29 Leinbach Dr Suite D2 Charleston SC 29407-7071 Ph: (843) 501-7001 |
| NPI Number | 1407279870 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 07/18/2014 |
| Medicare PECOS PAC ID | 6709313653 |
|---|---|
| Medicare Enrollment ID | O20241218002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407279870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jeannine Monnier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720137672 PECOS PAC ID: 8022053073 Enrollment ID: I20050621000889 |
| Provider Name | Cindy L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396769451 PECOS PAC ID: 7517058266 Enrollment ID: I20070809000276 |
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