| Waccamaws Health And Wellness Services Llc | |
|
314a Laurel St Suite 205 Conway SC 29526-5157 | |
| (843) 279-0172 | |
| (843) 438-5386 |
| Full Name | Waccamaws Health And Wellness Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 314a Laurel St, Conway, South Carolina |
| Authorized Official Name and Position | Lakeysa Marie Johnson (CEO/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8432790172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waccamaws Health And Wellness Services Llc 314a Laurel St Suite 205 Conway SC 29526-5157 Ph: (843) 279-0172 | Waccamaws Health And Wellness Services Llc 314a Laurel St Suite 205 Conway SC 29526-5157 Ph: (843) 279-0172 |
| NPI Number | 1124371448 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124371448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7334 (South Carolina) | Primary |
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