Provider Demographics
NPI:1710197587
Name:WARNECK, JANET EMILY (MA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:EMILY
Last Name:WARNECK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LEEWARD PSGE
Mailing Address - Street 2:WINDMILL HARBOUR
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-5209
Mailing Address - Country:US
Mailing Address - Phone:843-681-6981
Mailing Address - Fax:
Practice Address - Street 1:301 WATERS EDGE
Practice Address - Street 2:SHELTER COVE
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-9329
Practice Address - Country:US
Practice Address - Phone:843-686-3665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2569101YP2500X
GALPC002697101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional