| Kintsugi Behavioral Health Llc | |
|
3301 Salterbeck St Ste 101 Mt Pleasant SC 29466-7165 | |
| (843) 410-9940 | |
| Not Available |
| Full Name | Kintsugi Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3301 Salterbeck St Ste 101, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Katherine Mai (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8434109940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Behavioral Health Llc 3301 Salterbeck St Ste 101 Mt Pleasant SC 29466-7165 Ph: (843) 410-9940 | Kintsugi Behavioral Health Llc 3301 Salterbeck St Ste 101 Mt Pleasant SC 29466-7165 Ph: (843) 410-9940 |
| NPI Number | 1457168163 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 3476081688 |
|---|---|
| Medicare Enrollment ID | O20250115001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457168163 | NPI | - | NPPES |
| Provider Name | Katherine Anne Morici Mai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902613607 PECOS PAC ID: 4385172592 Enrollment ID: I20250115001309 |
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