DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CASEY SCOTT LAKE, LPCA

Active Sole Proprietor

MR. CASEY SCOTT LAKE, LPCA is a Professional Counselor healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1588424683 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · MYRTLE BEACH, SC

Registration Details

NPI Number
1588424683
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2024 (2.3801333026174 yrs)
Last Updated
Sep 10, 2025
License
11221 (SC)
Sole Proprietor
Yes

Practice Information

Address
CASEY@GOODVIBESTHERAPYCENTER.COM
141 MCDONALD COURT MYRTLE BEACH SC 29588
MYRTLE BEACH, SC, 29588
Browse SC providers · Browse ZIP 29588
Phone
8432940646
Fax
8432940318
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Mental Health Counselor

Other Professional Counselor Providers in MYRTLE BEACH, SC

Name Credential NPI
MRS. ALICE PAIGE LASEK MA, LPC 1740213933
ELIZABETH NIXON 1336165141
CANDY GODWIN WOODS LPC 1275559031
CAROLYN M. BALL LPC 1861403842
DR. GARLAND THOMAS VAUGHN 1336253715
MS. THERESA LUCILLE BOZZA-HICKS MA, LPC, CMHIMP 1902975584
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.