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Organization

ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.

Active
Find providers by NPI
Organization

ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.

Active
Other names
Advanced Practice Mental Health and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAURA L CRAWFORD BS, MSW (OWNER)
(843) 945-1452
Entity
Organization

Contact information

Practice address
630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Mailing address
630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572-5502
(843) 945-1452

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
06/13/2023
Last updated
08/31/2023
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