Organization
ARISE COUNSELING AND CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LONG LPC NCC (LPC NCC)
(843) 333-2416
Entity
Organization
Contact information
Practice address
4015 BELLE TERRE BLVD, MYRTLE BEACH, SC 29579-4917
(843) 410-8845
Mailing address
1293 PROFESSIONAL DR STE D, MYRTLE BEACH, SC 29577-5754
(843) 606-6870
(843) 212-6075
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184176554
BLUE CROSS BLUE SHIELD, AETNA, CIGNA, UNITED HEALTHCARE, OPTUM, PAI
SC
05
—
1184176554
—
SC
01
—
1588995799
BLUE CROSS BLUE SHIELD
SC
05
—
1588995799
—
SC
Enumeration date
12/22/2020
Last updated
12/20/2024
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