| House Of The Guardian, Llc | |
|
2208 Southside Blvd Apt 21 Port Royal SC 29935-1021 | |
| (843) 575-3139 | |
| Not Available |
| Full Name | House Of The Guardian, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2208 Southside Blvd Apt 21, Port Royal, South Carolina |
| Authorized Official Name and Position | Alexandra Marie Ingram (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8435753139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of The Guardian, Llc 2208 Southside Blvd Apt 21 Port Royal SC 29935-1021 Ph: (843) 575-3139 | House Of The Guardian, Llc 2208 Southside Blvd Apt 21 Port Royal SC 29935-1021 Ph: (843) 575-3139 |
| NPI Number | 1851272447 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851272447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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