Malkasian, Loren A

Malkasian, Loren A is an individual health care provider with primary practice located at 1500 Highway 17 N Ste 201 , Surfside Beach SC 29575-6078. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Malkasian, Loren A can be contacted via phone (508) 254-0066.

Contact Information

Primary practice address
1500 Highway 17 N Ste 201 Surfside Beach SC 29575-6078
Phone: (508) 254-0066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC 4564 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4711 South Carolina

Profile Details

NPI number 1649277740
LBN Legal business name Malkasian, Loren A
Credentials M.A.; LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 11th, 2024 - about 2 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 1649277740 NPPES
Massachusetts MEDICAID 1890727

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