Healthcare Provider Details

I. General information

NPI: 1205767779
Provider Name (Legal Business Name): CELTIC CONNECTIONS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 LONGFORD DAM CT
CLOVER SC
29710-7743
US

IV. Provider business mailing address

1212 LONGFORD DAM CT
CLOVER SC
29710-7743
US

V. Phone/Fax

Practice location:
  • Phone: 919-328-0679
  • Fax:
Mailing address:
  • Phone: 919-270-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHEILA BRENNAN
Title or Position: OWNER
Credential: OTR/L
Phone: 919-270-8001