Cognitive Behavioral Clinic LLC
NPI #1013316918 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1013316918
- Entity Type
- Organization
- Organization Name
- Cognitive Behavioral Clinic LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 15, 2014
- Last Updated
- Aug 15, 2014
Practice Location
- Address
- 9403 HIGHWAY 707
- Address 2
- SUITE B
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29588-7758
- Phone
- (843) 450-0636
Authorized Official
- Name
- MR. JAMES EDMOND GARVEY JR., LPC
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (843) 450-0636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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