| Hillcrest Counseling LLC | |
|
222 Hackamore Lane Camden SC 29020-1755 | |
| (770) 845-6711 | |
| Not Available |
| Full Name | Hillcrest Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 222 Hackamore Lane, Camden, South Carolina |
| Authorized Official Name and Position | Leslie Nuckolls (THERAPIST) |
| Authorized Official Contact | 7708456711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Counseling LLC 945 N Point Dr Alpharetta GA 30022-8266 | Hillcrest Counseling LLC 222 Hackamore Lane Camden SC 29020-1755 Ph: (770) 845-6711 |
| NPI Number | 1992416937 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/12/2025 |
| Medicare PECOS PAC ID | 2062932262 |
|---|---|
| Medicare Enrollment ID | O20250218002952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992416937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Leslie Nuckolls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316445992 PECOS PAC ID: 3274982012 Enrollment ID: I20231206000114 |
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