Organization
HIGHLY FAVORED LLC
Active
Other names
The Beacon House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA MCCORMICK EVANS MA, LPC, LCASA (OWNER)
(910) 995-7918
Entity
Organization
Contact information
Practice address
65 SANDERS LN, CHERAW, SC 29520
(910) 995-7918
Mailing address
PO BOX 882, CHERAW, SC 29520-0882
(843) 865-7005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2865A
NC
101YP2500X
Professional Counselor
9734
NC
101YP2500X
Professional Counselor
Primary
—
SC
171M00000X
Case Manager/Care Coordinator
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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