Healthcare Provider Details

I. General information

NPI: 1316646771
Provider Name (Legal Business Name): COURTNEY HILL QUINN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 PROFESSIONAL VILLAGE CIR
BEAUFORT SC
29907-1570
US

IV. Provider business mailing address

32 CHINQUAPIN ST
BEAUFORT SC
29906-7207
US

V. Phone/Fax

Practice location:
  • Phone: 843-321-8444
  • Fax:
Mailing address:
  • Phone: 434-334-9665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12331
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: