| Living Water Mental Health Brain Treatment Center | |
|
1086 London St Ste B Myrtle Beach SC 29577-5761 | |
| (843) 839-9688 | |
| Not Available |
| Full Name | Living Water Mental Health Brain Treatment Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1086 London St Ste B, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Benjamin Greenzweig (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8438399688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Water Mental Health Brain Treatment Center 1086 London St Ste B Myrtle Beach SC 29577-5761 Ph: (843) 938-5913 | Living Water Mental Health Brain Treatment Center 1086 London St Ste B Myrtle Beach SC 29577-5761 Ph: (843) 839-9688 |
| NPI Number | 1922829365 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Medicare PECOS PAC ID | 6204356876 |
|---|---|
| Medicare Enrollment ID | O20250226001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922829365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Owen Scott Muir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720372667 PECOS PAC ID: 2365752789 Enrollment ID: I20250226002506 |
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