Organization
COGNITIVE BEHAVIORAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDMOND GARVEY JR. LPC (LICENSED PROFESSIONAL COUNSELOR)
(843) 450-0636
Entity
Organization
Contact information
Practice address
9403 HIGHWAY 707, SUITE B, MYRTLE BEACH, SC 29588-7758
(843) 450-0636
(843) 215-4561
Mailing address
9403 HIGHWAY 707, SUITE B, MYRTLE BEACH, SC 29588-7758
(843) 450-0636
(843) 215-4561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4121
SC
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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