institution
Jennie Cassidy Psychologist Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Conway, South Carolina
NPI 1447884705

Jennie Cassidy Psychologist Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Myrtle Beach, SC and is specialized in Mental Health (Including Community Mental Health Center). Jennie Cassidy Psychologist Llc practices in Conway, SC. The NPI Number for Jennie Cassidy Psychologist Llc is 1447884705 and holds a License No. (South Carolina).

The current practice location address for Jennie Cassidy Psychologist Llc is 1511 9Th Ave Ste C, Conway, SC and can be reached out via phone at 843-685-0264 and via fax at 843-748-0448.

Location: 1511 9Th Ave Ste C, Conway, SC, 29588-5289
institution
Provider Profile Details
NPI Number
1447884705
Provider Name
Jennie Cassidy Psychologist Llc
Credential
Provider Entity Type
Organization
Address
1511 9Th Ave Ste C, Conway, SC, 29588-5289
Phone Number
843-685-0264
Fax Number
843-748-0448
Provider Enumeration Date
02/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PS0674 05 SC
institution
Provider Business Practice Location Address Details
Address
1511 9Th Ave Ste C
City
State
Zip
29526-4126
Phone Number
843-685-0264
Fax Number
843-748-0448
person
Provider Business Mailing Address Details
Address
1511 9Th Ave Ste C
City
State
Zip
29526-4126
Phone Number
843-685-0264
Fax Number
843-748-0448
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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