MEDICARE: MICHELLE ANN PRICE

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	101YM0800X	Mental Health Counselor	10262	SC

General Provider Information

NPI Number	:	1568392223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANN PRICE

Provider Business Mailing Address
First Line	:	26 BOONE AVE
Second Line	:
City	:	GOOSE CREEK
State	:	SC
Zip	:	29445-6002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 SAM RITTENBERG BLVD STE 3009
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4631
Country	:	US
Telephone Number	:	843-608-8822
Fax Number	:	843-654-4850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ MICHELLE ANN PRICE ” Practice Location

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