PAUL CROLLEY LPC
NPI 1407479009
Counselor - Mental Health in Myrtle Beach, SC
Active since May 19, 2020
About Paul Crolley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL CROLLEY LPC (NPI 1407479009) is an individual mental health provider in Myrtle Beach, South Carolina, licensed in Georgia (LPC007980) and active in the NPI registry since May 2020.
NPPES Registry Identity
NPI1407479009
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL CROLLEYCredential: LPC
Location Address2860 ETON STMyrtle Beach, SC 29579-6711
Mailing Address2860 Eton StMyrtle Beach, SC 29579-6711 · (404) 617-9499
Phone(404) 617-9499
Sole ProprietorYes
Enumeration DateMay 19, 2020
NPPES CertifiedMay 19, 2020
✔ NPI 1407479009 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC007980
2860 ETON ST, Myrtle Beach, SC 29579
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407479009, enumerated as an "individual" on May 19, 2020.
The provider is located at 2860 ETON ST MYRTLE BEACH, SC 29579 and the phone number is (404) 617-9499.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
