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NPI Code Detail

MEDICARE: MRS. CAROLINE L DENNIS LPC LMFT LMSW

MEDICARE: MRS. CAROLINE L DENNIS LPC LMFT LMSW
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
1104100000XSocial Worker1929SC
2106H00000XMarriage & Family Therapist1644SC
3101YP2500XProfessional Counselor1325SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801856042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAROLINE L DENNIS LPC LMFT LMSW
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 10 PATEWOOD DR STE 130
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-6317
Country : US
Telephone Number : 864-522-5550
Fax Number : 864-454-4540
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 11/21/2023

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Directions to “ MRS. CAROLINE L DENNIS LPC LMFT LMSW” Practice Location

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