Cognitive Behavioral Clinic LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4121 Issued in SC

Legal business name

COGNITIVE BEHAVIORAL CLINIC LLC

Practice address

9403 Highway 707
Suite B
Myrtle Beach, SC 29588-7758

Phone

(843) 450-0636

Fax

(843) 215-4561

NPI assigned

Aug 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Edmond Garvey Jr., LPC

Title

Licensed Professional Counselor

Phone

(843) 450-0636

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1013316918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 HIGHWAY 707",
            "address_2": "SUITE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887758",
            "telephone_number": "843-450-0636",
            "fax_number": "843-215-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 HIGHWAY 707",
            "address_2": "SUITE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887758",
            "telephone_number": "843-450-0636",
            "fax_number": "843-215-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDMOND",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "843-450-0636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Diane Cody, MD
• Michael Reece Cofer, DDS
• Dawn Marie Coffin, MSN-FNP
• Christie Lynne Coffman, RPH
• Brianna Danielle Coggins
• Alan Bruce Cohen, DO
• Alan Neal Cohen, C.PED / CFO
• Anna Grace Cohen, DO
• Paul S Cohen, M.D.
• Merridy Cole Andrews, MS, CCC-SLP

• Professional Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.