Provider Demographics
NPI:1811543663
Name:CAROLINA REHABILITATION CONSULTANTS, LLC
Entity type:Organization
Organization Name:CAROLINA REHABILITATION CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED REHABILITATION COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CRC
Authorized Official - Phone:843-760-2635
Mailing Address - Street 1:5877 RYANS BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-5210
Mailing Address - Country:US
Mailing Address - Phone:843-760-2635
Mailing Address - Fax:
Practice Address - Street 1:5877 RYANS BLUFF RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-5210
Practice Address - Country:US
Practice Address - Phone:843-760-2635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOW COUNTRY COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty