Individual
MR. CASEY SCOTT LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
CASEY@GOODVIBESTHERAPYCENTER.COM, 141 MCDONALD COURT MYRTLE BEACH SC 29588, MYRTLE BEACH, SC 29588
(843) 294-0646
(843) 294-0318
Mailing address
CASEY@GOODVIBESTHERAPYCENTER.COM, 141 MCDONALD COURT MYRTLE BEACH SC 29588, MYRTLE BEACH, SC 29588
(843) 294-0646
(843) 294-0318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
SC
101YP2500X
Professional Counselor
Primary
11221
SC
Other
Enumeration date
03/19/2024
Last updated
09/10/2025
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