| Palmetto Family Works Llc | |
|
2135 Hoffmeyer Rd Ste B Florence SC 29501-4087 | |
| (843) 615-2770 | |
| (864) 228-7247 |
| Full Name | Palmetto Family Works Llc |
|---|---|
| Speciality | Counselor |
| Location | 2135 Hoffmeyer Rd Ste B, Florence, South Carolina |
| Authorized Official Name and Position | Jennifer F Elkins (OWNER) |
| Authorized Official Contact | 8436152770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Works Llc 887 Ne Main St Ste C Simpsonville SC 29681-2041 Ph: (843) 615-2770 | Palmetto Family Works Llc 2135 Hoffmeyer Rd Ste B Florence SC 29501-4087 Ph: (843) 615-2770 |
| NPI Number | 1043432180 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Medicare PECOS PAC ID | 8224303250 |
|---|---|
| Medicare Enrollment ID | O20171002001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043432180 | NPI | - | NPPES |
| GP547 | Medicaid | SC | |
| GP5471 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4156 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jennifer Beth Eastin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750741708 PECOS PAC ID: 7810295607 Enrollment ID: I20160412000223 |
| Provider Name | Kaycee Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184953408 PECOS PAC ID: 4880939941 Enrollment ID: I20181218000452 |
| Provider Name | Reena C Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497983258 PECOS PAC ID: 9133465073 Enrollment ID: I20190114001380 |
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