Marc Jerome Richardson in Conway - Counselor
Marc Jerome Richardson - NPI 1164448643
Marc Jerome Richardson is a Counselor in Conway, South Carolina. Marc Jerome Richardson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Marc Jerome Richardson is 1164448643. The last update date is 2007-07-08.
Marc Jerome Richardson's current location address is 164 Waccamaw Medical Park Dr, Conway, South Carolina. You can contact this provider via phone number 8433475060. The mailing address for Marc Jerome Richardson is 164 Waccamaw Medical Park Dr, Conway, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc Jerome Richardson |
|---|---|
| Address | 164 Waccamaw Medical Park Dr, Conway, South Carolina |
| Phone Number | 8433475060 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164448643 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 164 Waccamaw Medical Park Dr |
|---|---|
| City | Conway |
| State | South Carolina (SC) |
| Post Code | 295268903 |
| Phone Number | 8433475060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: 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 supe |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marc Jerome Richardson by the Centers for Medicare & Medicaid Services?
The Marc Jerome Richardson has been issued the NPI (National Provider Identifier) 1164448643 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Marc Jerome Richardson is physically located?
The Marc Jerome Richardson is situated at the following address: 164 Waccamaw Medical Park Dr, Conway, SC 295268903.
What is the Marc Jerome Richardson's specialty and taxonomy code?
The Marc Jerome Richardson's specialty is Counselor, and the corresponding taxonomy code is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164448643 to Marc Jerome Richardson?
The Centers for Medicare & Medicaid Services assigned the 1164448643 to Marc Jerome Richardson on 2006-07-15.
When was the information pertaining to Marc Jerome Richardson most recently updated or revised?
The details related to Marc Jerome Richardson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.