Couples and Family Counseling & Wellness Center LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

COUPLES AND FAMILY COUNSELING & WELLNESS CENTER LLC

Practice address

2105 Cromley Cir Ste B
Myrtle Beach, SC 29577-3168

Phone

(843) 995-9025

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Nicole Haunroth, LPCNPI 1952869950

Title

Owner

Phone

(843) 995-9025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Lynn Haunroth, LPC

  • Counselor
  • Myrtle Beach, SC
  • NPI 1952869950
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Andrew Casola, MD

  • Family Medicine Physician
  • Myrtle Beach, SC
  • NPI 1750873618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1558040048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 OAT FIELDS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295883720",
            "telephone_number": "843-995-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 CROMLEY CIR STE B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773168",
            "telephone_number": "843-995-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUPLES AND FAMILY COUNSELING & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HAUNROTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-995-9025",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tammy Lynne Costello, DC
• Priscilla Cotter
• Sharon Gail Cotton, CRNA
• Donald Len Courtney, M.D.
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• Carolee Cowder, REGISTERED NURSE
• Cristin Cox, CNM
• Delores Gilmer Cox, M.ED, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.