Olivia Jayden Bauman
Individual provider Active NPI Mental Health Counselor · Conway, SC
NPI 1831994128 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1831994128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 164 Waccamaw Medical Park Dr
Conway, SC 29526-8903 - Phone
- (843) 347-4888
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Mailing address
31 Turning Stone Blvd
Murrells Inlet, SC 29576-5973
Other providers in Conway, SC
- Jason Basham
- Shala Baskett
- Tajauna Lanelle Marie Batchelor
- Amanda S Battisti
- Mary Baum
- Helen M Bayne
- Henna Bazai
- Beach Medical Specialists PA
- Dwayne Michael Beam
- Matthew John Beauchemin
All providers in Conway, SC · Mental Health 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 Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.