Doctor Name: | MS. AMY MCCRAY |
NPI Number: | 1629441670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-I |
License Number: | 6137 |
Business Practice Address: | 1904 Highway 17 N Suite C Surfside Beach, SC - 295756084 |
Business Phone Number: | 8432327671 |
Business Fax Number: | 8432327732 |
Mailing Address: | 1904 Highway 17 N, Suite C SURFSIDE BEACH |
State: | SC |
Postal Code: | 295756084 |
Phone Number: | 8432327671 |
Fax Number: | 8432327732 |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |