| Inner Peace Behavioral Health | |
|
801 12th Ave S Ste B North Myrtle Beach SC 29582-3765 | |
| (843) 663-0828 | |
| (843) 663-0828 |
| Full Name | Inner Peace Behavioral Health |
|---|---|
| Speciality | Social Worker |
| Location | 801 12th Ave S, North Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Bevin Nixon (THERAPIST & OWNER) |
| Authorized Official Contact | 6098033077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Behavioral Health 801 12th Ave S Suite B North Myrtle Beach SC 29582-3765 Ph: (843) 663-0828 | Inner Peace Behavioral Health 801 12th Ave S Ste B North Myrtle Beach SC 29582-3765 Ph: (843) 663-0828 |
| NPI Number | 1487882924 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 7911186929 |
|---|---|
| Medicare Enrollment ID | O20190927000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487882924 | NPI | - | NPPES |
| SW1065 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Bevin J Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538351747 PECOS PAC ID: 0244419257 Enrollment ID: I20190927000316 |
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