ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.
NPI 1720762503
Nurse Practitioner - Psychiatric/Mental Health in Myrtle Beach, SC

Q: What is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 13, 2023CLIA Certified · 2 labs

630 CHESTNUT RD STE 14, MYRTLE BEACH, SC 29572(843) 945-1452(843) 945-1489 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Jun 13, 2023 (2 updates tracked since 2023).

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About Advanced Practice Mental Health And Wellness Of South Carolina L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C. (NPI 1720762503), doing business as Advanced Practice Mental Health And Wellness, is a healthcare organization registered as a psychiatric/mental health in Myrtle Beach, South Carolina and active in the NPI registry since June 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Loris, and lists Laura L Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1720762503

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameADVANCED PRACTICE MENTAL HEALTH AND WELLNESS OF SOUTH CAROLINA L.L.C.

Location Address630 CHESTNUT RD STE 14Myrtle Beach, SC 29572-5502

Mailing Address630 Chestnut Rd Ste 14Myrtle Beach, SC 29572-5502 · (843) 945-1452

Phone(843) 945-1452

Fax(843) 945-1489

Organization SubpartNo

Authorized OfficialLaura L CrawfordOwner · (843) 945-1452

Enumeration DateJune 13, 2023

Last NPPES UpdateAugust 31, 20232 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1720762503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

630 CHESTNUT RD STE 14, Myrtle Beach, SC 29572

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Other Names 1

Former Legal Business NameAdvanced Practice Mental Health And Wellness

Secondary Practice Location 1

Location 13997 Meeting St Ste BLoris, SC 29569-3053 · Phone (843) 945-1452 · Fax (843) 945-1489

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2329327

Advanced Practice Mental Health And Wellness Of South Carolina · Loris, SC

Active · expires Aug 26, 2027

CLIA Number42D2329327

Laboratory TypePsychiatry

Certificate Effective DateAugust 27, 2025

Certificate Expiration DateAugust 26, 2027

Laboratory DirectorLaura Crawford

Laboratory Phone(843) 945-1452

Laboratory LocationAdvanced Practice Mental Health And Wellness Of South Carolina3997 Meeting Street Suite B, Loris, SC 29569

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2285937

Advanced Practice Mental Health And Wellness Of Sc · Little River, SC

Active · expires Jul 19, 2027

CLIA Number42D2285937

Laboratory TypePractitioner Other

Certificate Effective DateJuly 20, 2025

Certificate Expiration DateJuly 19, 2027

Laboratory DirectorLaura Crawford

Laboratory Phone(843) 945-1452

Laboratory LocationAdvanced Practice Mental Health And Wellness Of Sc630 Chestnut Road, Little River, SC 29566

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.'s NPI number?

The NPI number for Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. is 1720762503. It was assigned to this organization in the NPPES registry on June 13, 2023. The provider was formerly known as Advanced Practice Mental Health and Wellness.

Where is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. located?

Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. is located at 630 Chestnut Rd Ste 14, Myrtle Beach, SC 29572. The listed phone number is (843) 945-1452.

What is Advanced Practice Mental Health And Wellness Of South Carolina L.L.C.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Practice Mental Health And Wellness Of South Carolina L.L.C. was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.