MEDICARE: MRS. ELIZABETH ANN MINNICH LCMHC, LCAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	21213	NC
2	101YP2500X	Professional Counselor	A11356	NC

General Provider Information

NPI Number	:	1063805414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANN MINNICH LCMHC, LCAS

Provider Business Mailing Address
First Line	:	3100 DICK POND RD STE E-3
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-7286
Country	:	US
Telephone Number	:	919-637-9418
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 DICK POND RD STE E-3
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-7286
Country	:	US
Telephone Number	:	919-637-9418
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	01/20/2023

Similar Medicare Providers

1669320008 — ABA SUPPORTIVE CARE SC LLC
Practice Location Address:

3100 DICK POND RD
MYRTLE BEACH, SC
29588-7286

Practice Phone: 317-936-1240
Practice Fax:

1326994534 — AUDIOLOGY SERVICES COMPANY USA, LLC
Practice Location Address:

3100 DICK POND RD UNIT B
MYRTLE BEACH, SC
29588-7286

Practice Phone: 843-294-1900
Practice Fax:

1184924920 — ACCUQUEST HEARING CENTER, LLC
Practice Location Address:

3100 DICK POND RD UNIT B
MYRTLE BEACH, SC
29588-7286

Practice Phone: 843-294-1900
Practice Fax:

1295134856 — MEGAN NOLASCO
Practice Location Address:

3100 DICK POND RD UNIT A
MYRTLE BEACH, SC
29588-7286

Practice Phone: 910-580-9164
Practice Fax: 843-294-0318

1336547694 — PATRICK VUICH H.A.S.
Practice Location Address:

3100 DICK POND RD UNIT B
MYRTLE BEACH, SC
29588-7286

Practice Phone: 843-294-1900
Practice Fax:

1083073274 — MS. ANEDRA CHINA ADC, LPC
Practice Location Address:

3100 DICK POND RD STE E
MYRTLE BEACH, SC
29588-7286

Practice Phone: 803-470-3866
Practice Fax: 803-373-1541

Directions to “ MRS. ELIZABETH ANN MINNICH LCMHC, LCAS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.