Provider Demographics
NPI:1710571286
Name:CHARLESTON CHILD SERVICES
Entity Type:Organization
Organization Name:CHARLESTON CHILD SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/EMPLOYEE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:SNOW
Authorized Official - Last Name:LAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-860-7133
Mailing Address - Street 1:3101 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-6158
Mailing Address - Country:US
Mailing Address - Phone:843-860-7133
Mailing Address - Fax:843-282-7706
Practice Address - Street 1:3101 BAYWOOD DR
Practice Address - Street 2:
Practice Address - City:SEABROOK ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-6158
Practice Address - Country:US
Practice Address - Phone:843-860-7133
Practice Address - Fax:843-282-7706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty