Provider Demographics
NPI:1851451017
Name:CAROLINA COUNSELING CENTER
Entity Type:Organization
Organization Name:CAROLINA COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:F
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:803-366-7404
Mailing Address - Street 1:1721 EBENEZER RD
Mailing Address - Street 2:STE 215
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-4103
Mailing Address - Country:US
Mailing Address - Phone:803-366-7404
Mailing Address - Fax:803-366-7181
Practice Address - Street 1:1721 EBENEZER RD
Practice Address - Street 2:STE 215
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-4103
Practice Address - Country:US
Practice Address - Phone:803-366-7404
Practice Address - Fax:803-366-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMFT1209103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty