SOUTH CAROLINA ONLINE COUNSELING AND GROUP THERAPY LLC NPI 1154928448

NPI Information

NPI: 1154928448
Provider Name: SOUTH CAROLINA ONLINE COUNSELING AND GROUP THERAPY, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
61 RIVERWALK BLVD STE H
RIDGELAND, SC
ZIP 29936
Phone: (843) 636-5017
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SOUTH CAROLINA ONLINE COUNSELING AND GROUP THERAPY, LLC is a professional counselor in Ridgeland, SC. SOUTH CAROLINA ONLINE COUNSELING AND GROUP THERAPY, LLC NPI is 1154928448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

61 RIVERWALK BLVD STE H
RIDGELAND, SC
ZIP 29936-252
Phone: (843) 636-5017
Fax: (843) 206-0256

The provider's authorized official is Leigh Diotalevi .
The authorized official title is Administrator and has the following contact phone number (843) 636-5017.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.

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
1	101YP2500X	Counselor	Professional			Yes

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: 5/5/2024

NPI Synchronization or Removal

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