Search › South Carolina › 101YP2500X
Casey Lake, LPCA
NPI 1588424683 · on the registry since 2024 · sole proprietor
Practice
- Address
- Casey@Goodvibestherapycenter.Com
141 Mcdonald Court Myrtle Beach Sc 29588
Myrtle Beach, SC 29588 - Phone
- (843) 294-0646
- Fax
- (843) 294-0318
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina