Individual
MRS. CARRIE A COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1076 BARBADOS WAY, CHARLESTON, SC 29412-8649
(843) 819-5070
Mailing address
935 PAULINE AVE, CHARLESTON, SC 29412-4023
(843) 819-5070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
6143
SC
101YM0800X
Mental Health Counselor
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
07/30/2009
Last updated
03/31/2026
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