Palmetto Moon Counseling and Consulting Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4731 Issued in SC

Legal business name

PALMETTO MOON COUNSELING AND CONSULTING SERVICES

Practice address

6920 Highway 76
Nichols, SC 29581-5334

Phone

(843) 421-5236

NPI assigned

Mar 20, 2015

Last updated

Mar 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shanda Shelley Strickland, LPCNPI 1669796157

Title

Owner

Phone

(843) 421-5236

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanda Shelley Strickland, LPC/S

  • Counselor
  • Pawley's Island, SC
  • NPI 1669796157
  NPD (past) Authorized official

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1225422983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 HINSONS CROSSROADS",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "843-421-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 HIGHWAY 76",
            "city": "NICHOLS",
            "state": "SC",
            "postal_code": "295815334",
            "telephone_number": "843-421-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MOON COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "SHANDA",
        "authorized_official_middle_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-421-5236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Hills, TEACHING
• Valerie A Hodges, LSW
• Mobile Medical Care Inc
• Mobile Medical Care, Inc. (Shepherd Care Hospice, LLC)
• Averitte Burney Pace Jr., PHARMACY BS
• Serene Soul Therapy, LLC
• Ernestine Strickland

• Community/Behavioral Health Agency in Nichols, SC
• Providers in Nichols, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.