| Lowcountry Psychotherapy Associates, P.a. | |
|
105 Wappoo Creek Dr Suite 2a Charleston SC 29412-2134 | |
| (843) 795-3585 | |
| (843) 795-9728 |
| Full Name | Lowcountry Psychotherapy Associates, P.a. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 105 Wappoo Creek Dr, Charleston, South Carolina |
| Authorized Official Name and Position | Douglas Fountain Crane (PRESIDENT) |
| Authorized Official Contact | 8437953585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Psychotherapy Associates, P.a. 105 Wappoo Creek Dr Suite 2a Charleston SC 29412-2167 Ph: (843) 795-3585 | Lowcountry Psychotherapy Associates, P.a. 105 Wappoo Creek Dr Suite 2a Charleston SC 29412-2134 Ph: (843) 795-3585 |
| NPI Number | 1972796019 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972796019 | NPI | - | NPPES |
| 078089 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7808 (South Carolina) | Primary |
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