Ravenel Therapeutic Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6482 Issued in SC

Legal business name

RAVENEL THERAPEUTIC COUNSELING, LLC

Practice address

29 Gamecock Ave Ste 100
Charleston, SC 29407-3366

Phone

(843) 709-7707

Fax

(843) 507-8739

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Tiffany D Ravenel, LPCNPI 1639568009

Title

Licensed Professional Counselor

Phone

(843) 709-7707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany D Ravenel, M.ED

  • Counselor
  • N Charleston, SC
  • NPI 1639568009
  NPD (past) Authorized official

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1225557440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 DAVISON RD",
            "city": "RAVENEL",
            "state": "SC",
            "postal_code": "294705307",
            "telephone_number": "843-408-3214",
            "fax_number": "843-507-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GAMECOCK AVE STE 100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073366",
            "telephone_number": "843-709-7707",
            "fax_number": "843-507-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENEL THERAPEUTIC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "RAVENEL",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "843-709-7707",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "SC",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1772",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ratcliffe, PSY.D.
• Cristina Diano Rateb, MSN, RN
• John W Ratliff, DDS
• Isis Raulino Scomacao
• Leonard Mel Rauton Jr., R.PH.
• Anne Ravenel
• Daniel Ravenel, MD
• James Ravenel, MD
• James M Ravenel, MD
• Michele Carter Ravenel, DMD

• Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.