Organization
INDEPENDENT MENTAL HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA GRAYSON (OWNER)
(843) 472-8334
Entity
Organization
Contact information
Practice address
1016 2ND AVE N STE 205, NORTH MYRTLE BEACH, SC 29582-3288
(843) 472-8334
Mailing address
499 MCALISTER DR, LITTLE RIVER, SC 29566-5904
(843) 472-8334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
06/17/2024
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