Organization
CAROLINA SOLUTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENNY LOCKLEAR (CEO)
(910) 550-3803
Entity
Organization
Contact information
Practice address
2025 EBENEZER RD, SUITE I, ROCK HILL, SC 29732-1062
(803) 992-0499
(803) 620-1543
Mailing address
PO BOX 1293, RAEFORD, NC 28376-1293
(910) 550-3803
(407) 479-3846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1066
—
SC
Enumeration date
06/02/2016
Last updated
06/02/2016
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