Healthcare Provider Details

I. General information

NPI: 1235347451
Provider Name (Legal Business Name): WALTER JOHN WARNECK, JR. D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 WATERS EDGE SHELTER COVE
HILTON HEAD ISLAND SC
29928-9329
US

IV. Provider business mailing address

4 LEEWARD PSGE WINDMILL HARBOUR
HILTON HEAD ISLAND SC
29926-5209
US

V. Phone/Fax

Practice location:
  • Phone: 843-686-3665
  • Fax:
Mailing address:
  • Phone: 843-681-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1125
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: