Provider Demographics
NPI:1639245673
Name:TERRELL, RYAN E (LPC)
Entity type:Individual
Prefix:MRS
First Name:RYAN
Middle Name:E
Last Name:TERRELL
Suffix:
Gender:
Credentials:LPC
Other - Prefix:MS
Other - First Name:RYAN
Other - Middle Name:E
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:4000 FABER PLACE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8585
Mailing Address - Country:US
Mailing Address - Phone:843-501-1099
Mailing Address - Fax:843-766-8606
Practice Address - Street 1:4000 FABER PLACE DR STE 110
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8585
Practice Address - Country:US
Practice Address - Phone:843-501-1099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4701101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health