Healthcare Provider Details

I. General information

NPI: 1801526017
Provider Name (Legal Business Name): PSYCHWORKS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 06/13/2022
Certification Date: 06/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4448 HIGHWAY 162
HOLLYWOOD SC
29449-5702
US

IV. Provider business mailing address

4448 HIGHWAY 162
HOLLYWOOD SC
29449-5702
US

V. Phone/Fax

Practice location:
  • Phone: 843-608-9319
  • Fax:
Mailing address:
  • Phone: 843-608-9319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TYLER WILLIAM EISENHART
Title or Position: OWNER/OPERATOR
Credential: LPC
Phone: 843-822-8773