Individual
KATHY T HEUSTESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
901 NORTH KINGS HIGHWAY, MYRTLE BEACH, SC 29577
(843) 448-4820
(843) 448-9875
Mailing address
901 NORTH KINGS HIGHWAY, MYRTLE BEACH, SC 29577
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05101411
SC
101YP1600X
Pastoral Counselor
Primary
AAPC FELLOW
VA
1041C0700X
Clinical Social Worker
5004
SC
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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