Healthcare Provider Details

I. General information

NPI: 1710197587
Provider Name (Legal Business Name): JANET EMILY WARNECK M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
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 Code101YP2500X
TaxonomyProfessional Counselor
License Number2569
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC002697
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: