Organization
INNER PEACE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVIN NIXON LCSW (THERAPIST & OWNER)
(609) 803-3077
Entity
Organization
Contact information
Practice address
801 12TH AVE S, STE B, NORTH MYRTLE BEACH, SC 29582-3765
(843) 663-0828
(843) 663-0828
Mailing address
801 12TH AVE S, SUITE B, NORTH MYRTLE BEACH, SC 29582-3765
(843) 663-0828
(843) 492-6766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1065
—
SC
Enumeration date
06/23/2009
Last updated
03/06/2024
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