Provider Demographics
NPI:1790209096
Name:MANZI, CAROLYN (LPC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:MANZI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2394 RICE POND RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6575
Mailing Address - Country:US
Mailing Address - Phone:843-224-7942
Mailing Address - Fax:
Practice Address - Street 1:2394 RICE POND RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6575
Practice Address - Country:US
Practice Address - Phone:843-224-7942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional