Organization
CAROLINA CONSORTIUM OF CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK BRADSHAW SR. (OWNER)
(270) 779-9360
Entity
Organization
Contact information
Practice address
704 SAINT PAUL RD, CAMDEN, SC 29020-1562
(270) 779-9360
Mailing address
175 BISHOPS GATE RD, CHRISTIANSBURG, VA 24073-6422
(270) 779-9360
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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