Healthcare Provider Details

I. General information

NPI: 1659214492
Provider Name (Legal Business Name): PALMETTO COUNSELING COLLECTIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY HILL QUINN
Title or Position: COUNSELOR
Credential: LPC
Phone: 434-334-9665