MEDICARE: P & E COMPANY

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1093373797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P & E COMPANY

Provider Business Mailing Address
First Line	:	1614 RACHEL CARSON PKWY
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3831
Country	:	US
Telephone Number	:	843-424-7705
Fax Number	:

Provider Business Practice Location Address
First Line	:	4108 CAROLINA COMMERCIAL DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-4223
Country	:	US
Telephone Number	:	843-424-7705
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MS. PAOLA ANDREA GOYENECHE
Credential	:	LPC
Telephone Number	:	843-424-7705

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	05/29/2019

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Directions to “P & E COMPANY ” Practice Location

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