Avondale Therapy | |
845 Savannah Hwy Suite 1c Charleston SC 29407-7202 | |
(843) 870-0278 | |
Not Available |
Full Name | Avondale Therapy |
---|---|
Speciality | Counselor |
Location | 845 Savannah Hwy, Charleston, South Carolina |
Authorized Official Name and Position | Elise Richard (OWNER) |
Authorized Official Contact | 8438700278 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avondale Therapy 845 Savannah Hwy Suite 1c Charleston SC 29407-7202 Ph: () - | Avondale Therapy 845 Savannah Hwy Suite 1c Charleston SC 29407-7202 Ph: (843) 870-0278 |
NPI Number | 1013375708 |
---|---|
Provider Enumeration Date | 02/09/2016 |
Last Update Date | 02/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013375708 | NPI | - | NPPES |
PC1528 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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