| Guardian Allies Collective Llc | |
|
2155 N Park Ln Ste 216 North Charleston SC 29406-9261 | |
| (843) 969-0297 | |
| (854) 258-5167 |
| Full Name | Guardian Allies Collective Llc |
|---|---|
| Speciality | Psychologist - School |
| Location | 2155 N Park Ln Ste 216, North Charleston, South Carolina |
| Authorized Official Name and Position | Paula Michelle Lewis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9044726050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Allies Collective Llc 6565 Ward Pkwy Melbourne FL 32904-3636 Ph: (904) 472-6050 | Guardian Allies Collective Llc 2155 N Park Ln Ste 216 North Charleston SC 29406-9261 Ph: (843) 969-0297 |
| NPI Number | 1124988381 |
|---|---|
| Provider Enumeration Date | 11/12/2025 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124988381 | NPI | - | NPPES |
| LP1071 | Medicaid | SC |
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