Healthcare Provider Details

I. General information

NPI: 1831773266
Provider Name (Legal Business Name): JANELL MARIA GARCED LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANELL MARIA GONZALEZ

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1103 48TH AVE N STE 201
MYRTLE BEACH SC
29577-5418
US

IV. Provider business mailing address

600 GETTY AVE
CLIFTON NJ
07011-2161
US

V. Phone/Fax

Practice location:
  • Phone: 843-501-1099
  • Fax: 843-405-2040
Mailing address:
  • Phone: 862-621-7343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9806
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00561600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: