THE COUNSELING CENTER OF SAYEBROOK (NPI# 1588124176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588124176 |
| Entity Type | Organization |
| Organization Name | THE COUNSELING CENTER OF SAYEBROOK |
| Practice Address |
106 Lansford Court Suite 202 Myrtle Beach SC 29588 |
| Mailing Address |
4 Mulberry Ln Mills River NC 28759-2670 |
| Practice Telephone | 8432132659 |
| Mailing Telephone | 8282793699 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | CHRISTOPHER DELLICARPINI (MANAGING MEMBER) |
| Authorized Official Telephone | 8282793699 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
106 LANSFORD COURT SUITE 202 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| 1831425123 | Michael Anthony Pickett | Counselor | 200 Kestrel Court, Myrtle Beach, SC 29588 | 2009-10-22 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951232 | Poston Counseling Services LLC | Counselor | 1053 London St # B, Myrtle Beach, SC 29577-5760 | 2017-06-12 |
| 1417367699 | Pamela Grant | Counselor | 2102 Cromley Cir Ste B, Myrtle Beach, SC 29577-3187 | 2014-04-28 |
| 1447483177 | Marta Carolyn Rotello | Counselor | 507c 31st Ave. N., Myrtle Beach, SC 29577-2905 | 2009-08-28 |
| 1093902876 | Tara Meade | Counselor | 3723 Forestbrook Rd Ste 103c, Myrtle Beach, SC 29588-9254 | 2007-09-26 |
| 1386660819 | Jacquelyne Jones Wilson | Counselor | 4705 Oleander Dr, Myrtle Beach, Myrtle Beach, SC 29577-5751 | 2006-07-15 |
| 1285659797 | Robert Edward Mccarthy | Counselor | 4603 Oleander Drive, Suite 1, Myrtle Beach, SC 29577 | 2006-07-13 |
| 1093730632 | Theresa Elise Sloan | Counselor | 106 Lansford Pl Ste 202, Myrtle Beach, SC 29588-6979 | 2006-07-13 |
| 1740213933 | Alice Paige Lasek | Counselor | 1335 44th Ave N, Executive Center - Suite 204, Myrtle Beach, SC 29577-5980 | 2006-07-09 |
| 1568495737 | Ashley Leigh Everhart | Counselor | 9403 Highway 707, Suite B, Myrtle Beach, SC 29588-7758 | 2006-07-09 |
| 1538794839 | Hannah Carlan | Counselor | 9403 Highway 707, Myrtle Beach, SC 29588-7758 | 2020-03-06 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
Please comment or provide details below to improve the information on THE COUNSELING CENTER OF SAYEBROOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.