# BERGERON COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235412685
- **Authorized official:** SHAWN MICHAEL BERGERON LISW-CP (SOCIAL WORKER)
- **Authorized official phone:** (843) 318-6619

## Contact information

- **Practice address:** 1335 44TH AVE N STE 204, MYRTLE BEACH, SC 29577-5980
- **Practice address phone:** (843) 318-6619
- **Mailing address:** 421 WESTHAM DR, MURRELLS INLET, SC 29576-8298
- **Mailing address phone:** (843) 318-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 8649 | SC | Yes |

## Other

- **Enumeration date:** 09/22/2011
- **Last updated:** 09/22/2011