Mehalic, Darian Glenn

Mehalic, Darian Glenn is an individual health care provider with primary practice located at 2404 Wise Rd , Conway SC 29526-5521. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Mehalic, Darian Glenn can be contacted via phone (843) 365-8884.

Contact Information

Primary practice address
2404 Wise Rd Conway SC 29526-5521
Phone: (843) 365-8884
Fax: (843) 365-6685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC 5054 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 4930 North Carolina

Profile Details

NPI number 1407948250
LBN Legal business name Mehalic, Darian Glenn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407948250 NPPES
North Carolina MEDICAID 6102804

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