Professional Counseling Associates, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5299 Issued in SC

Legal business name

PROFESSIONAL COUNSELING ASSOCIATES, INC.

Practice address

1304 C Azalea Court
Myrtle Beach, SC 29577-5723

Phone

(843) 997-4022

Fax

(843) 215-2444

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Louis D Murden, LISW

Title

President

Phone

(910) 287-4022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365206400000",
    "number": "1023019478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 ASH LITTLE RIVER RD",
            "city": "ASH",
            "state": "NC",
            "postal_code": "284201717",
            "telephone_number": "910-287-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 C AZALEA COURT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775723",
            "telephone_number": "843-997-4022",
            "fax_number": "843-215-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-04-06",
        "status": "A",
        "authorized_official_last_name": "MURDEN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-287-4022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2013; 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.