Stacy D Maloney, LPC
Counselor in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1942943535
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1942943535
- Entity type
- Individual (NPI-1)
- Name
- Stacy D Maloney
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2022
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- 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 | LPC.8252 | SC | Yes |
Practice location
1297 Professional Dr Ste 102Myrtle Beach, SC 29577-5713
Phone 704-223-1925
Mailing address
1297 Professional Dr Ste 102Myrtle Beach, SC 29577-5713
Phone 704-223-1925
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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