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
—
—
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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