# RECIPROCATE1906, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RECIPROCATE1906, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255732871
- **Legal business name:** RECIPROCATE1906, LLC
- **Authorized official:** DUSTIN GOLLOPP (CEO)
- **Authorized official phone:** (954) 496-5641

## Contact information

- **Practice address:** 4611 HARD SCRABBLE RD, COLUMBIA, SC 29229-8584
- **Practice address phone:** (954) 496-5641
- **Mailing address:** 4611 HARD SCRABBLE RD, COLUMBIA, SC 29229-8584
- **Mailing address phone:** (954) 496-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014