Couples And Family Counseling & Wellness Center LLC
Counselor in Myrtle Beach, SC. Organization (NPI-2).
NPI number1558040048
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1558040048
- Entity type
- Organization (NPI-2)
- Legal business name
- Couples And Family Counseling & Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2023
- Certification date
- Jul 13, 2023
- Last updated
- Jul 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2105 Cromley Cir Ste BMyrtle Beach, SC 29577-3168
Phone 843-995-9025
Mailing address
5049 Oat Fields DrMyrtle Beach, SC 29588-3720
Phone 843-995-9025
Authorized official
Nicole Haunroth
Owner
8439959025
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