Organization
ROBIN H STARR
Active
Other names
Advanced Practice Mental Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L CRAWFORD LMSW (DIRECTOR)
(843) 945-1452
Entity
Organization
Contact information
Practice address
630 CHESTNUT RD, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Mailing address
630 CHESTNUT RD # 14, MYRTLE BEACH, SC 29572-5502
(843) 945-1452
(843) 945-1489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
252Y00000X
Early Intervention Provider Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004896
—
NC
Enumeration date
02/03/2018
Last updated
09/19/2023
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