Provider Demographics
NPI:1508953589
Name:CAROLINA THERAPY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:CAROLINA THERAPY SOLUTIONS, LLC
Other - Org Name:CHAMBERS THERAPY MANAGEMENT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIEBERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:803-796-5116
Mailing Address - Street 1:132B SUNSET COURT
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169
Mailing Address - Country:US
Mailing Address - Phone:803-796-5116
Mailing Address - Fax:803-796-5131
Practice Address - Street 1:132B SUNSET COURT
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2429
Practice Address - Country:US
Practice Address - Phone:803-796-5116
Practice Address - Fax:803-796-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1787174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8644Medicare PIN