Provider Demographics
NPI:1689703118
Name:GARLAND, CAROL DENISE
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:DENISE
Last Name:GARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 S IRBY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3413
Mailing Address - Country:US
Mailing Address - Phone:843-665-5101
Mailing Address - Fax:843-665-5202
Practice Address - Street 1:1705 S IRBY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-1324
Practice Address - Country:US
Practice Address - Phone:843-665-5105
Practice Address - Fax:843-665-5202
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health