Organization
CAROLINA BEHAVIORAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA BRENNER GAUTIER LPC (OWNER, LPC)
(803) 939-6747
Entity
Organization
Contact information
Practice address
110 ASHLEY BLUFFS RD, SUMMERVILLE, SC 29485-6043
(803) 939-6747
Mailing address
110 ASHLEY BLUFFS RD, SUMMERVILLE, SC 29485-6043
(908) 334-8117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/08/2019
Last updated
04/27/2022
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