| Real Counseling, Llc | |
|
6215 Highway 707 Myrtle Beach SC 29588-7362 | |
| (843) 273-0077 | |
| (843) 273-0075 |
| Full Name | Real Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6215 Highway 707, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Ashley Leigh Everhart (LICENSED PROFESSIONAL COUNSELOR SUP) |
| Authorized Official Contact | 8432730077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Counseling, Llc Po Box 31447 Myrtle Beach SC 29588-0025 Ph: (843) 273-0077 | Real Counseling, Llc 6215 Highway 707 Myrtle Beach SC 29588-7362 Ph: (843) 273-0077 |
| NPI Number | 1518262138 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 10/03/2019 |
| Medicare PECOS PAC ID | 1759517121 |
|---|---|
| Medicare Enrollment ID | O20131114000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518262138 | NPI | - | NPPES |
| C916 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5204 (South Carolina) | Primary |
| Provider Name | Jonathan Alan Simons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659480333 PECOS PAC ID: 9739148511 Enrollment ID: I20041007000292 |
| Provider Name | Kellie M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265421937 PECOS PAC ID: 8628204096 Enrollment ID: I20131114000444 |
| Provider Name | Cara L Nelsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386849743 PECOS PAC ID: 6608863766 Enrollment ID: I20140311001530 |
| Provider Name | Carol Ann Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295952232 PECOS PAC ID: 8426207895 Enrollment ID: I20161219000421 |
| Provider Name | Mary C Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669422390 PECOS PAC ID: 0840248464 Enrollment ID: I20161228000252 |
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