Coastal Center For Cognitive Therapy, Pa in Myrtle Beach - Clinical
Coastal Center For Cognitive Therapy, Pa - NPI 1447436290
Coastal Center For Cognitive Therapy, Pa is a Clinical in Myrtle Beach, South Carolina. Coastal Center For Cognitive Therapy, Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Coastal Center For Cognitive Therapy, Pa is 1447436290. The last update date is 2009-03-06.
Coastal Center For Cognitive Therapy, Pa's current location address is 1101 Johnson Ave, Myrtle Beach, South Carolina. You can contact this provider via phone number 8438399028 and fax number 8438399029. The mailing address for Coastal Center For Cognitive Therapy, Pa is 1101 Johnson Ave, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Center For Cognitive Therapy, Pa |
|---|---|
| Address | 1101 Johnson Ave, Myrtle Beach, South Carolina |
| Phone Number | 8438399028 |
| Fax Number | 8438399029 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Grant M. Michael |
| Credentials | PH.D. |
| Telephone Number | 8438399028 |
NPI Number Detail
| NPI Number | 1447436290 |
|---|---|
| Provider Enumeration Date | 2008-01-10 |
| Last Updated Date | 2009-03-06 |
Provider Mailing Address Detail
| Address | 1101 Johnson Ave |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295771660 |
| Phone Number | 8438399028 |
| Fax Number | 8438399029 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1071 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Coastal Center For Cognitive Therapy, Pa?
The Coastal Center For Cognitive Therapy, Pa has been issued the NPI (National Provider Identifier) 1447436290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Coastal Center For Cognitive Therapy, Pa's physical address?
The Coastal Center For Cognitive Therapy, Pa is physically located at 1101 Johnson Ave, in the city of Myrtle Beach, SC, with the postal code 295771660.
What is the Coastal Center For Cognitive Therapy, Pa's specialty and taxonomy code?
The Coastal Center For Cognitive Therapy, Pa's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Coastal Center For Cognitive Therapy, Pa receive the assignment of its 1447436290 from the Centers for Medicare & Medicaid Services?
The Coastal Center For Cognitive Therapy, Pa was issued its 1447436290 by the Centers for Medicare & Medicaid Services on 2008-01-10.
When was the information pertaining to Coastal Center For Cognitive Therapy, Pa most recently updated or revised?
The details related to Coastal Center For Cognitive Therapy, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-06.