Lake, Casey Scott

Lake, Casey Scott is an sole proprietor health care provider with primary practice located at Casey@Goodvibestherapycenter.Com 141 Mcdonald Court Myrtle Beach Sc 29588, Myrtle Beach SC 29588. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Lake, Casey Scott can be contacted via phone (843) 294-0646.

Contact Information

Primary practice address
Casey@Goodvibestherapycenter.Com 141 Mcdonald Court Myrtle Beach Sc 29588 Myrtle Beach SC 29588
Phone: (843) 294-0646
Fax: (843) 294-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 11221 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X South Carolina

Profile Details

NPI number 1588424683
LBN Legal business name Lake, Casey Scott
Credentials LPCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2024
Last updated Sep 10th, 2025 - about last year

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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