MEDICARE: DR. JAMES TODD MCGAHEY ED.D., LPC

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	6904	SC
2	101YP2500X	Professional Counselor	003080	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6904	OTHER	SC	LICENSE

General Provider Information

NPI Number	:	1598903445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES TODD MCGAHEY ED.D., LPC

Provider Business Mailing Address
First Line	:	14323 OCEAN HWY UNIT 4103
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4817
Country	:	US
Telephone Number	:	843-945-0244
Fax Number	:	866-580-4842

Provider Business Practice Location Address
First Line	:	14323 OCEAN HWY UNIT 4103
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4817
Country	:	US
Telephone Number	:	843-779-2264
Fax Number	:	866-580-4842

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

Provider Enumeration Date	:	01/30/2009
Last Update Date	:	05/10/2019

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