Amy N Cantley, LPC,CFC
Individual provider Active NPI Professional Counselor · Murrells Inlet, SC
NPI 1730453036 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1730453036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3958 (SC)
- Practice address
- 3938 Highway 17
Murrells Inlet, SC 29576-5013 - Phone
- (843) 318-0380
- Fax
- (843) 947-0812
- NPI assigned
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241022002910 | SC | Practitioner - Mental Health Counselor | 2365667094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F16792 | SC | MD | Counselor |
| 3958 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current |
Accepting new patients | |
| Charleston Counseling Center PC | Professional | Current |
Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
608 16th Ave N
Ste G
Myrtle Beach, SC 29577
Phone (843) 823-5132
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | F16792 | SC | |
| Professional Counselor | 101YP2500X | 3958 | SC | Yes |
Addresses
Primary practice location
3938 Highway 17
Murrells Inlet, SC 29576-5013
Mailing address
3938 Highway 17
Murrells Inlet, SC 29576-5013
Phone (843) 318-0380
Other providers in Murrells Inlet, SC
- Kaitlyn Burnett
- Allison Hope Bussey
- Vered Butbul Benezra
- Scott D. Callaghan
- Vanessa Gentleman Cangialosi
- Natalie Young Capozzolo
- Carolina Center for Advanced Dentistry Murrells Inlet, LLC
- Carolina Dental Center R. Jason Meares, DDS, PA
- Carolina Dental Center, Kevin R. Hojnowski, DMD, LLC
- Carolina Family Care, Inc
All providers in Murrells Inlet, SC · Professional Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.