Organization
GRACEFUL TIDES COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MALONEY MA LPCA (OWNER THERAPIST)
(843) 284-3255
Entity
Organization
Contact information
Practice address
1297 PROFESSIONAL DR STE 102, MYRTLE BEACH, SC 29577-5713
(843) 284-3255
Mailing address
1297 PROFESSIONAL DR STE 102, MYRTLE BEACH, SC 29577-5713
(843) 284-3255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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