Provider Demographics
NPI:1992840375
Name:CAROLINA BEHAVIORAL CARE, LLC
Entity Type:Organization
Organization Name:CAROLINA BEHAVIORAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:COOK
Authorized Official - Last Name:SCALES
Authorized Official - Suffix:
Authorized Official - Credentials:ME, LPC
Authorized Official - Phone:864-316-9711
Mailing Address - Street 1:PO BOX 8098
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340
Mailing Address - Country:US
Mailing Address - Phone:864-316-9711
Mailing Address - Fax:
Practice Address - Street 1:114 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340
Practice Address - Country:US
Practice Address - Phone:864-316-9711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)