# ROMAN CLINICAL CONSULTING, LLC

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

## Provider details

- **NPI number:** 1295190734
- **Authorized official:** MR. JOHN ANTHONY ROMAN II LISW-CP (OWNER)
- **Authorized official phone:** (843) 582-7887

## Contact information

- **Practice address:** 917 BROADWAY ST STE 3, MYRTLE BEACH, SC 29577-3718
- **Practice address phone:** (843) 582-7887
- **Practice address fax:** (843) 800-0061
- **Mailing address:** 917 BROADWAY ST STE 3, MYRTLE BEACH, SC 29577-3718
- **Mailing address phone:** (843) 582-7887
- **Mailing address fax:** (843) 800-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 11070 | SC | Yes |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 02/21/2017