Individual provider · Type 1 NPI
Woodrow Anthony Roeback Iii, CPC, CRC, LPC
Professional Counselor · Myrtle Beach, SC
NPI number
1356681241
Active
Practice location
1103 48th Ave N Ste 201
Myrtle Beach, SC 29577-5418
Fax (843) 405-2040
Other practice locations
- 241 W Quail Dr, Palmdale, CA 93551-2943 · (702) 917-9309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 9352 (CA) |
| Mental Health Counselor | 101YM0800X | CP0182 (NV) |
| Professional Counselor Primary | 101YP2500X | 12362 (SC) |
| Mental Health Counselor | 101YM0800X | 128746726004 (UT) |
| Exclusive Provider Organization | 302F00000X | NV20131237531 (NV) |
Professional Counselor: Definition to come...
Another provider at this address
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- Linda Cooper Lack, PhDProfessional Counselor Myrtle Beach, SC NPI 1043357064
- Virginia EddyProfessional Counselor Myrtle Beach, SC NPI 1043656028
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About NPI 1356681241
Woodrow Anthony Roeback Iii, CPC, CRC, LPC's National Provider Identifier is 1356681241, issued on Mar 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 23, 2026.