MEDICARE: CHRISTIAN MCPHAIL

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	101YP2500X	Professional Counselor	11917	SC

General Provider Information

NPI Number	:	1447018700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN MCPHAIL

Provider Business Mailing Address
First Line	:	2316 1/2 DUDLEY DR
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-7535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4452 LIVE OAK DR
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-9125
Country	:	US
Telephone Number	:	803-479-4629
Fax Number	:

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

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	04/20/2026

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Directions to “ CHRISTIAN MCPHAIL ” Practice Location

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