NPIMap

Organization Active NPI

Carolina Solution Inc.

  • Psychiatry Physician
  • Rock Hill, SC
National Provider Identifier
1346698180
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CAROLINA SOLUTION INC.
Practice address
2025 Ebenezer Rd
Suite I
Rock Hill, SC 29732-1062
Phone
(803) 992-0499
Fax
(803) 620-1543
NPI assigned
Jun 2, 2016
Last updated
Jun 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Mr. Benny Locklear
Title
Ceo
Phone
(910) 550-3803

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2025 Ebenezer Rd
Suite I
Rock Hill, SC 29732-1062

Mailing address

PO Box 1293
Raeford, NC 28376-1293
Phone (910) 550-3803

Other identifiers 1

IdentifierTypeStateIssuer
CM1066MedicaidSC

National Provider Directory

National Provider Directory

Locations

2025 Ebenezer Rd
Ste I
Rock Hill, SC 29732
Phone (803) 992-0499

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1346698180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1293",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283761293",
            "telephone_number": "910-550-3803",
            "fax_number": "407-479-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EBENEZER RD",
            "address_2": "SUITE I",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321062",
            "telephone_number": "803-992-0499",
            "fax_number": "803-620-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SOLUTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "BENNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-550-3803",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CM1066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.