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Organization
CAROLINA GRACE COUNSELING
Active
Organization
CAROLINA GRACE COUNSELING
Active
Other names
Carolina Grace Boutique Care and Counseling, Carolina Grace Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE J BAEZ (OWNER)
(843) 900-3590
Entity
Organization
Contact information
Practice address
89 OLD TROLLEY RD STE 202, SUMMERVILLE, SC 29485-4951
(854) 206-5513
Mailing address
89 OLD TROLLEY RD STE 102, SUMMERVILLE, SC 29485-4951
(843) 900-3590
(854) 246-8965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG1115
—
SC
Enumeration date
03/09/2022
Last updated
04/19/2026
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