Natalie Bruick

Individual provider Active NPI Mental Health Counselor · Florence, SC

NPI 1386016152 · NPPES record last updated Oct 20, 2015

Key facts

NPI
1386016152
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
125 E Cheves St
Florence, SC 29506-2526
Phone
(843) 317-4073
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

125 E Cheves St
Florence, SC 29506-2526

Mailing address

203 Millstone Rd Apt R
Florence, SC 29505-3950

Other identifiers

IdentifierTypeStateIssuer
376241MedicaidSC

Other providers in Florence, SC

All providers in Florence, SC · Mental Health Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.