Graceful Tides Counseling Service LLC
NPI 1982367645ActiveOrganization· Counselor, Mental Health· Myrtle Beach, SC
Counselor, Mental Health in Myrtle Beach, South Carolina, registered in NPPES in October 2021. The authorized official on file is Stacy Maloney, MA LPCA, Owner Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982367645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2021 |
| Last updated in NPPES | Oct 20, 2021 |
| Certified by provider | Oct 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Counselor, Mental Health providers in Myrtle Beach
- 1609463900
- 1619507241
- 1174189187
- 1609314293
- 1780444059
- 1386980910
- 1073054961
- 1609546613
- 1629849906
- 1194364281
- 1285448001
- 1164090866