Organization
ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.
Active
Other names
Advanced Practice Mental Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA L CRAWFORD BS, MSW (OWNER)
(843) 945-1452
Entity
Organization
Contact information
Practice address
630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Mailing address
630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
08/31/2023
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