BROOKE BURKHOLDER NPI 1821596719

NPI Information

  • NPI: 1821596719
  • Provider Name: BROOKE BURKHOLDER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 103 QUEEN ST STE D&E
    GEORGETOWN, SC
    ZIP 29440
  • Phone: (843) 849-4029

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NPI Details

Brooke Burkholder is a professional counselor in Georgetown, SC. Brooke Burkholder NPI is 1821596719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 QUEEN ST STE D&E
GEORGETOWN, SC
ZIP 29440-633
Phone: (843) 849-4029

The NPI 1821596719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/25/2018 and was last updated on 4/25/2024.

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
1101YM0800XCounselorMental HealthIMH12078FLORIDANo
2101YP1600XCounselorPastoralNo
3101YS0200XCounselorSchoolFLORIDANo
4101YP2500XCounselorProfessional8842SOUTH CAROLINAYes

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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