| The Counseling Center of Sayebrook | |
|
106 Lansford Court Suite 202 Myrtle Beach SC 29588 | |
| (843) 213-2659 | |
| Not Available |
| Full Name | The Counseling Center of Sayebrook |
|---|---|
| Speciality | Counselor |
| Location | 106 Lansford Court Suite 202, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Christopher Dellicarpini (MANAGING MEMBER) |
| Authorized Official Contact | 8282793699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center of Sayebrook 4 Mulberry Ln Mills River NC 28759-2670 Ph: (828) 279-3699 | The Counseling Center of Sayebrook 106 Lansford Court Suite 202 Myrtle Beach SC 29588 Ph: (843) 213-2659 |
| NPI Number | 1588124176 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 7012343866 |
|---|---|
| Medicare Enrollment ID | O20200214000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588124176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| Provider Name | Bevin J Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538351747 PECOS PAC ID: 0244419257 Enrollment ID: I20190927000316 |
| Provider Name | Amanda Dea Mercer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811393747 PECOS PAC ID: 0345581799 Enrollment ID: I20240411002024 |
| Provider Name | Jill Ashley Bedell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548801475 PECOS PAC ID: 9335680479 Enrollment ID: I20240917002711 |
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