Provider Demographics
NPI:1881685501
Name:TOURTUAL, BERNADETTE C (LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:BERNADETTE
Middle Name:C
Last Name:TOURTUAL
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4826 HABERSHAM LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8580
Mailing Address - Country:US
Mailing Address - Phone:843-851-1930
Mailing Address - Fax:
Practice Address - Street 1:2900 EVATT LANE SUITE 106
Practice Address - Street 2:PALMETTO BEHAVIORAL HEALTH SOLUTIONS LLC
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405
Practice Address - Country:US
Practice Address - Phone:843-745-5189
Practice Address - Fax:843-747-8080
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC85371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical