MEDICARE: MERCEDEZ BOHNENSTIEHL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1679437347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDEZ BOHNENSTIEHL

Provider Business Mailing Address
First Line	:	775 SANGAREE PKWY APT 16D
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-1849
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	775 SANGAREE PKWY APT 16D
Second Line	:
City	:	SUMMERVILLE
State	:	SC
Zip	:	29486-1849
Country	:	US
Telephone Number	:	843-704-3470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1275497976 — TAYLOR ANN TALLMAN FNP-C
Practice Location Address:

424 BRIGHTON PARK BLVD
SUMMERVILLE, SC
29486-3100

Practice Phone: 843-376-6151
Practice Fax:

1548924079 — JENNIFER RAE STOGSDILL PA-C
Practice Location Address:

424 BRIGHTON PARK BLVD
SUMMERVILLE, SC
29486-3100

Practice Phone: 843-376-6151
Practice Fax:

1295690626 — SARAH THOMAS
Practice Location Address:

269 TORSLANDA LN
SUMMERVILLE, SC
29486-7042

Practice Phone: 843-870-2882
Practice Fax:

1326529041 — HUNTER W JACQUES PA-C
Practice Location Address:

2001 2ND AVE STE 101
SUMMERVILLE, SC
29486-7887

Practice Phone: 843-722-8000
Practice Fax: 843-266-5125

1811608607 — MS. CARLY RAE SANTOS APRN
Practice Location Address:

5500 FRONT ST STE 230
SUMMERVILLE, SC
29486-8140

Practice Phone: 843-569-1856
Practice Fax:

Directions to “ MERCEDEZ BOHNENSTIEHL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.