| Ronald Cassidy LPC | |
|
1203 48th Ave N Myrtle Beach SC 29577-5425 | |
| (843) 449-2576 | |
| Not Available |
| Full Name | Ronald Cassidy LPC |
|---|---|
| Speciality | Counselor |
| Location | 1203 48th Ave N, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Ronald Cassidy (OWNER) |
| Authorized Official Contact | 8434492576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Cassidy LPC 1203 48th Ave N Myrtle Beach SC 29577-5425 Ph: (843) 449-2576 | Ronald Cassidy LPC 1203 48th Ave N Myrtle Beach SC 29577-5425 Ph: (843) 449-2576 |
| NPI Number | 1962364224 |
|---|---|
| Provider Enumeration Date | 11/25/2025 |
| Last Update Date | 11/25/2025 |
| Certification Date | 11/25/2025 |
| Medicare PECOS PAC ID | 4082194675 |
|---|---|
| Medicare Enrollment ID | O20260213000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962364224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Ronald Cassidy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083987820 PECOS PAC ID: 2668952268 Enrollment ID: I20260213001419 |
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