Provider Demographics
NPI:1629366646
Name:WEBER, CAROL PEYTON (MS, LPC, LAC, NCC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:PEYTON
Last Name:WEBER
Suffix:
Gender:F
Credentials:MS, LPC, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 OLD SAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-2025
Mailing Address - Country:US
Mailing Address - Phone:843-693-6825
Mailing Address - Fax:800-567-4086
Practice Address - Street 1:4900 O'HEAR AVENUE
Practice Address - Street 2:SUITE 100 PMB #315
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:843-284-3444
Practice Address - Fax:800-567-4086
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional