| Mofdaps And Company | |
|
1203 48th Ave N 202 Myrtle Beach SC 29577-5425 | |
| (843) 449-2576 | |
| (843) 449-6851 |
| Full Name | Mofdaps And Company |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1203 48th Ave N, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Adedapo Mofolus Oduwole (OWNER) |
| Authorized Official Contact | 8434492576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mofdaps And Company Po Box 50817 Myrtle Beach SC 29579-0014 Ph: (843) 449-2576 | Mofdaps And Company 1203 48th Ave N 202 Myrtle Beach SC 29577-5425 Ph: (843) 449-2576 |
| NPI Number | 1144458183 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 10/28/2009 |
| Medicare PECOS PAC ID | 3678611720 |
|---|---|
| Medicare Enrollment ID | O20091110000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144458183 | NPI | - | NPPES |
| 34116200 | Medicaid | WI | |
| 31507 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31507 (South Carolina) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 43425 (Wisconsin) | Secondary |
| Provider Name | Deborah L Hipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437258191 PECOS PAC ID: 1456245844 Enrollment ID: I20040209000260 |
| Provider Name | Patsy G Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609032630 PECOS PAC ID: 2365401700 Enrollment ID: I20041011000056 |
| Provider Name | Adedapo M Oduwole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720139645 PECOS PAC ID: 2062550114 Enrollment ID: I20091110000244 |
| Provider Name | Karen J Fulwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164414520 PECOS PAC ID: 6608923578 Enrollment ID: I20141124000655 |
| Provider Name | Patricia Ann Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699547810 PECOS PAC ID: 7113361270 Enrollment ID: I20240216000126 |
Cognitive Behavioral Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9403 Highway 707, Suite B, Myrtle Beach, SC 29588 Phone: 843-450-0636 Fax: 843-215-4561 | |
Professional Counseling Associates, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1304 C Azalea Court, Myrtle Beach, SC 29577 Phone: 843-997-4022 Fax: 843-215-2444 | |
Kenneth T Cappuccio Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Serenity And Beyond Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 38th Ave N Ste 207, Myrtle Beach, SC 29577 Phone: 843-804-8200 | |
Coping Eap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Maison Dr Unit 28, Myrtle Beach, SC 29572 Phone: 843-449-8318 Fax: 843-497-5441 | |
Capeside Addiction Care, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4889 Highway 17 Byp S, Myrtle Beach, SC 29577 Phone: 843-584-7011 Fax: 843-945-1355 | |
P & E Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4108 Carolina Commercial Dr, Myrtle Beach, SC 29579 Phone: 843-424-7705 |