Healthcare Provider Details

I. General information

NPI: 1710896295
Provider Name (Legal Business Name): CHLOE STROUP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1320 MAIN ST STE 300
COLUMBIA SC
29201-3266
US

IV. Provider business mailing address

8850 DORCHESTER RD APT 336
NORTH CHARLESTON SC
29420-7353
US

V. Phone/Fax

Practice location:
  • Phone: 839-213-4505
  • Fax:
Mailing address:
  • Phone: 508-789-6792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: