Healthcare Provider Details

I. General information

NPI: 1083545057
Provider Name (Legal Business Name): GEANA ANEICE MCNEAL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 AIRPARK DR
MYRTLE BEACH SC
29577-1412
US

IV. Provider business mailing address

422 STONO RIVER RD UNIT 206
MYRTLE BEACH SC
29579-2736
US

V. Phone/Fax

Practice location:
  • Phone: 843-477-0177
  • Fax:
Mailing address:
  • Phone: 719-447-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number118513
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: