MR. CASEY LAKE, LPCA

Counselor - Professional

Active Individual
NPI: 1588424683

Practice Address

[email protected]
141 MCDONALD COURT MYRTLE BEACH SC 29588
Myrtle Beach, SC 29588

Phone: (843) 294-0646

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 11221 (SC)
Counselor - Mental Health 101YM0800X No -

Frequently Asked Questions

NPI 1588424683 is the National Provider Identifier for MR. CASEY LAKE, LPCA, a Counselor - Professional provider located in Myrtle Beach, SC. This NPI was enumerated on March 19, 2024.
MR. CASEY LAKE, LPCA practices at [email protected], 141 MCDONALD COURT MYRTLE BEACH SC 29588, Myrtle Beach, SC 29588.

Quick Facts

NPI
1588424683
Type
Individual
Enumerated
Mar 19, 2024
Last Updated
Sep 10, 2025

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