Organization
SONORAN CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA TYLER TODD NCC,CACII,LPC (PROFESSIONAL COUNSELOR)
(843) 446-0541
Entity
Organization
Contact information
Practice address
1304 AZALEA CT, SUITE C, MYRTLE BEACH, SC 29577
(843) 446-0541
Mailing address
1304 AZALEA CT, SUITE C, MYRTLE BEACH, SC 29577
(843) 446-0541
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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