MEDICARE: POSTON COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	5334	SC

General Provider Information

NPI Number	:	1164951232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSTON COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	1294 FOLLY GROVE RD
Second Line	:
City	:	HEMINGWAY
State	:	SC
Zip	:	29554-3602
Country	:	US
Telephone Number	:	216-534-4154
Fax Number	:

Provider Business Practice Location Address
First Line	:	1053 LONDON ST # B
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-5760
Country	:	US
Telephone Number	:	216-534-4154
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA POSTON
Credential	:	LPC
Telephone Number	:	216-534-4154

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	07/21/2022

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