Active NPI
Randall Counseling and Therapy Services, LLC
- Community/Behavioral Health Agency
- North Myrtle Beach, SC
National Provider Identifier
1245625193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RANDALL COUNSELING AND THERAPY SERVICES, LLC
- Practice address
- 1019 Highway 17 S
Suite 109
North Myrtle Beach, SC 29582-3702 - Phone
- (803) 701-9693
- NPI assigned
- Mar 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Venita Catrice Randall
- Title
- Mental Health Clinical Counselor
- Phone
- (704) 561-1913
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1019 Highway 17 S
Suite 109
North Myrtle Beach, SC 29582-3702
Mailing address
PO Box 924
North Myrtle Beach, SC 29597-0924
Phone (803) 701-9693
National Provider Directory
National Provider DirectoryLocations
1019 Highway 17 S
Ste 109
North Myrtle Beach, SC 29582
Phone (803) 701-9693
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Little River, SC
- NPI 1972784916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452038400000",
"number": "1245625193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 924",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295970924",
"telephone_number": "803-701-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 HIGHWAY 17 S",
"address_2": "SUITE 109",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295823702",
"telephone_number": "803-701-9693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDALL COUNSELING AND THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-30",
"last_updated": "2016-01-06",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "VENITA",
"authorized_official_middle_name": "CATRICE",
"authorized_official_title_or_position": "MENTAL HEALTH CLINICAL COUNSELOR",
"authorized_official_telephone_number": "704-561-1913"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.