Charmus Bennett-Wilson
Individual provider Active NPI Mental Health Counselor · Cayce, SC
NPI 1316727142 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1316727142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2105 Commerce Dr
Cayce, SC 29033-1524 - Phone
- (803) 796-0353
- NPI assigned
- Sep 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2105 Commerce Dr
Cayce, SC 29033-1524
Mailing address
2105 Commerce Dr
Cayce, SC 29033-1524
Phone (803) 796-0353
Other providers in Cayce, SC
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- Behavior and Educational Supports, LLC
- Avery Behling
- Adam Joseph Bilodeau
- Jonathan Blackwood
- Clarice Blakely
- Michelle Bolton
- Miranda Bouknight
All providers in Cayce, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.