| Professional Counseling Associates, Inc. | |
|
1304 C Azalea Court Myrtle Beach SC 29577-5723 | |
| (843) 997-4022 | |
| (843) 215-2444 |
| Full Name | Professional Counseling Associates, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1304 C Azalea Court, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Louis D Murden (PRESIDENT) |
| Authorized Official Contact | 9102874022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Associates, Inc. 1131 Ash Little River Rd Ash NC 28420-1717 Ph: (910) 287-4022 | Professional Counseling Associates, Inc. 1304 C Azalea Court Myrtle Beach SC 29577-5723 Ph: (843) 997-4022 |
| NPI Number | 1023019478 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 04/06/2013 |
| Medicare PECOS PAC ID | 9234322405 |
|---|---|
| Medicare Enrollment ID | O20101020000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023019478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5299 (South Carolina) | Primary |
| Provider Name | Louis D Murden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932100377 PECOS PAC ID: 4981897154 Enrollment ID: I20101020000430 |
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