CAROLINA BEHAVIORAL COUNSELING NPI 1053879007

NPI Information

  • NPI: 1053879007
  • Provider Name: CAROLINA BEHAVIORAL COUNSELING
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • CLIA Number: 42D1087629
  • Address: 110 ASHLEY BLUFFS RD
    SUMMERVILLE, SC
    ZIP 29485
  • Phone: (803) 939-6747

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NPI Details

CAROLINA BEHAVIORAL COUNSELING is a professional counselor in Summerville, SC. CAROLINA BEHAVIORAL COUNSELING NPI is 1053879007. The provider is registered as an organization entity type.

The provider's business location address is:

110 ASHLEY BLUFFS RD
SUMMERVILLE, SC
ZIP 29485-043
Phone: (803) 939-6747

The provider's authorized official is Samantha Brenner Gautier .
The authorized official title is Owner, Lpc and has the following contact phone number (803) 939-6747.

The CLIA number assigned to this NPI record is 42D1087629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 4/27/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2101YP2500XCounselorProfessionalYes

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: 11/21/2025

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