MEDICARE: GARDEN PATH COUNSELING, LLC

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	103T00000X	Psychologist
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1790463537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN PATH COUNSELING, LLC

Provider Business Mailing Address
First Line	:	158 MUDDY BAY DR APT 7304
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-3500
Country	:	US
Telephone Number	:	267-279-9340
Fax Number	:

Provider Business Practice Location Address
First Line	:	14323 OCEAN HWY UNIT 4145
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4826
Country	:	US
Telephone Number	:	267-279-9340
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRISTINE L JAMES
Credential	:	PSYD
Telephone Number	:	267-279-9340

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	06/12/2025

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