# INDEPENDENT MENTAL HEALTH SOLUTIONS LLC

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

## Provider details

- **NPI number:** 1598526493
- **Authorized official:** MRS. MARTHA GRAYSON (OWNER)
- **Authorized official phone:** (843) 472-8334

## Contact information

- **Practice address:** 1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582-3288
- **Practice address phone:** (843) 472-8334
- **Mailing address:** 499 MCALISTER DR, LITTLE RIVER, SC 29566-5904
- **Mailing address phone:** (843) 472-8334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 06/17/2024