| Counselor | |
|
1053 London St # B Myrtle Beach SC 29577-5760 | |
| (216) 534-4154 | |
| Not Available |
| Full Name | Counselor |
|---|---|
| Speciality | Counselor |
| Location | 1053 London St # B, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Samantha Poston (OWNER) |
| Authorized Official Contact | 2165344154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counselor 1294 Folly Grove Rd Hemingway SC 29554-3602 Ph: (216) 534-4154 | Counselor 1053 London St # B Myrtle Beach SC 29577-5760 Ph: (216) 534-4154 |
| NPI Number | 1164951232 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164951232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5334 (South Carolina) | Primary |
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