MEDICARE: STRATEGIC BEHAVIORAL HEALTHCARE, 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	401	SC

General Provider Information

NPI Number	:	1851516041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATEGIC BEHAVIORAL HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	1485 WINTON RD
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3921
Country	:	US
Telephone Number	:	843-209-0690
Fax Number	:	843-767-8101

Provider Business Practice Location Address
First Line	:	2114 COSGROVE AVE
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-7755
Country	:	US
Telephone Number	:	843-209-0690
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. HEATHER A HARRINGTON
Credential	:	M.EDL, LPC
Telephone Number	:	843-209-0690

Provider Enumeration Date	:	04/15/2007
Last Update Date	:	01/04/2011

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