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NPI Code Detail

MEDICARE: JILL ASHLEY BEDELL LPC

MEDICARE:   JILL ASHLEY BEDELL  LPC
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
1101YM0800XMental Health Counselor7850SC
2101YM0800XMental Health Counselor6635SC
3101YP2500XProfessional Counselor7850SC
4101YM0800XMental Health Counselor21392NC

General Provider Information

NPI Number : 1548801475
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL ASHLEY BEDELL LPC
Provider Business Mailing Address
First Line : 106 LANSFORD PL STE 202
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-6979
Country : US
Telephone Number : 843-384-1482
Fax Number :
Provider Business Practice Location Address
First Line : 106 LANSFORD PL STE 202
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-6979
Country : US
Telephone Number : 843-213-2659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2019
Last Update Date : 06/11/2026

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Directions to “ JILL ASHLEY BEDELL LPC” Practice Location

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