| Harvey Counseling Services LLC | |
|
105 Central Avenue Suite 17 Of Building 200 Goose Creek SC 29445 | |
| (907) 687-8482 | |
| (803) 574-2039 |
| Full Name | Harvey Counseling Services LLC |
|---|---|
| Speciality | Counselor |
| Location | 105 Central Avenue, Goose Creek, South Carolina |
| Authorized Official Name and Position | Angela Denise Harvey (OWNER/THERAPIST) |
| Authorized Official Contact | 9076878482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvey Counseling Services LLC 1181 Moss Grove Dr Moncks Corner SC 29461 Ph: (907) 687-8482 | Harvey Counseling Services LLC 105 Central Avenue Suite 17 Of Building 200 Goose Creek SC 29445 Ph: (907) 687-8482 |
| NPI Number | 1447600218 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Medicare PECOS PAC ID | 5092295766 |
|---|---|
| Medicare Enrollment ID | O20260212004422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447600218 | NPI | - | NPPES |
| PC1718 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 251S00000X | Community/behavioral Health | 6007 (South Carolina) | Secondary |
| Provider Name | Angela Denise Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932583846 PECOS PAC ID: 8123409463 Enrollment ID: I20260213000332 |
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