Provider Demographics
NPI:1194861724
Name:CUNNINGHAM, CAROL A (MA)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:A
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6000 GARNERS FERRY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1303
Mailing Address - Country:US
Mailing Address - Phone:803-834-3221
Mailing Address - Fax:
Practice Address - Street 1:6000 GARNERS FERRY RD STE 3
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1303
Practice Address - Country:US
Practice Address - Phone:803-834-3221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health