# LOWCOUNTRY BRIDGES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lowcountry Bridges Behavioral Support Services, LL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053857102
- **Authorized official:** CATHERINE M CARBONE LPC/I, BCBA (CLINIC DIRECTOR)
- **Authorized official phone:** (843) 718-9922

## Contact information

- **Practice address:** 2225 ASHLEY CROSSING DR, SUITE 102, CHARLESTON, SC 29414-5852
- **Practice address phone:** (843) 779-0167
- **Practice address fax:** (844) 864-1700
- **Mailing address:** 2225 ASHLEY CROSSING DR, SUITE 102, CHARLESTON, SC 29414-5852
- **Mailing address phone:** (843) 779-0167
- **Mailing address fax:** (844) 864-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | BL005424-12-2016 | SC | Yes |

## Other

- **Enumeration date:** 01/13/2017
- **Last updated:** 01/13/2017