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RAVENEL THERAPEUTIC COUNSELING LLC NPI 1225557440


NPI Information

NPI: 1225557440
Provider Name: RAVENEL THERAPEUTIC COUNSELING, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
29 GAMECOCK AVE STE 100
CHARLESTON, SC
ZIP 29407
Phone: (843) 709-7707
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RAVENEL THERAPEUTIC COUNSELING, LLC is a counselor in Charleston, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. RAVENEL THERAPEUTIC COUNSELING, LLC NPI is 1225557440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29 GAMECOCK AVE STE 100
CHARLESTON, SC
ZIP 29407-366
Phone: (843) 709-7707
Fax: (843) 507-8739

The provider's authorized official is Tiffany D Ravenel .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (843) 709-7707.

The enumeration date for this NPI number is 9/19/2017 and was last updated on 9/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor6482SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PC1772MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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