| Huckleberry Health, Llc | |
|
8761 Dorchester Rd Ste 200 North Charleston SC 29420-7322 | |
| (843) 212-6979 | |
| Not Available |
| Full Name | Huckleberry Health, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8761 Dorchester Rd Ste 200, North Charleston, South Carolina |
| Authorized Official Name and Position | Narlin Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8432126979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huckleberry Health, Llc 8761 Dorchester Rd Ste 200 North Charleston SC 29420-7322 Ph: (843) 212-6979 | Huckleberry Health, Llc 8761 Dorchester Rd Ste 200 North Charleston SC 29420-7322 Ph: (843) 212-6979 |
| NPI Number | 1053105502 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 4789102757 |
|---|---|
| Medicare Enrollment ID | O20250514001887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053105502 | NPI | - | NPPES |
| NN0570 | Medicaid | SC |
| Provider Name | Jennifer Marie Shierlock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841671344 PECOS PAC ID: 8426454869 Enrollment ID: I20210909002000 |
| Provider Name | Narlin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325244 PECOS PAC ID: 4587907779 Enrollment ID: I20241029002074 |
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