Carolina Counseling Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA COUNSELING SUPPORT SERVICES, LLC

Practice address

4 Hidden Sands CT
Columbia, SC 29229-7615

Phone

(803) 546-9673

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Young, M.A., M.E.D

Title

Owner

Phone

(803) 546-9673

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073710174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HIDDEN SANDS CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297615",
            "telephone_number": "803-546-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HIDDEN SANDS CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297615",
            "telephone_number": "803-546-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COUNSELING SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-546-9673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.E.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Dental Associates, P.a.
• Carolina Dentistry LLC
• Carolina Dermatology GRP
• Carolina Diabetic Supply, Inc.
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• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.