Healthcare Provider Details

I. General information

NPI: 1922935741
Provider Name (Legal Business Name): CARTISHA TURNER BONNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 BROADBENT WAY
ANDERSON SC
29625-1521
US

IV. Provider business mailing address

2815 RANCHWOOD DR
ANDERSON SC
29621-3769
US

V. Phone/Fax

Practice location:
  • Phone: 864-222-9798
  • Fax:
Mailing address:
  • Phone: 864-824-9297
  • Fax: 864-824-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADC-2289
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: