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Organization
GRACEFUL TIDES COUNSELING SERVICE LLC
Active
Organization
GRACEFUL TIDES COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MALONEY MA LPCA (OWNER THERAPIST)
(843) 284-3255
Entity
Organization
Contact information
Practice address
1297 PROFESSIONAL DR STE 102, MYRTLE BEACH, SC 29577-5713
(843) 284-3255
Mailing address
1297 PROFESSIONAL DR STE 102, MYRTLE BEACH, SC 29577-5713
(843) 284-3255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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