Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Parent organization
ANGELIC HEALTH PRACTICE GROUP
Other names
Angelic Behavioral Health of SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELIC HEALTH PRACTICE GROUP
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
923C MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 356-9078
(843) 356-4086
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(856) 812-8089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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