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NPI Code Detail

MEDICARE: ROBIN H STARR

MEDICARE: ROBIN H STARR
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3104100000XSocial Worker
41041C0700XClinical Social Worker
5163WP0808XPsychiatric/Mental Health Registered Nurse
6171M00000XCase Manager/Care Coordinator
7172V00000XCommunity Health Worker
8252Y00000XEarly Intervention Provider Agency
9363LF0000XFamily Nurse Practitioner
10363L00000XNurse Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790284990
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBIN H STARR
Provider Business Mailing Address
First Line : 630 CHESTNUT RD # 14
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-5502
Country : US
Telephone Number : 843-945-1452
Fax Number : 843-945-1489
Provider Business Practice Location Address
First Line : 630 CHESTNUT RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-5502
Country : US
Telephone Number : 843-945-1452
Fax Number : 843-945-1489
Authorized Official
Title or Position : DIRECTOR
Name : LAURA L CRAWFORD
Credential : LMSW
Telephone Number : 843-945-1452
Provider Enumeration Date : 02/03/2018
Last Update Date : 09/19/2023

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1235696774 — JESSICA YVONNE GREENE LPC
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1023604600 — LAURA L CRAWFORD LMSW
Practice Location Address:
630 CHESTNUT RD
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1285321356 — SHELIZA THOMPSON LPCA
Practice Location Address:
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