Healthcare Provider Details

I. General information

NPI: 1114537461
Provider Name (Legal Business Name): KARLI MARIE KILBY MS, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2020
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

597 OLD MOUNT HOLLY RD STE 300
GOOSE CREEK SC
29445-2832
US

IV. Provider business mailing address

597 OLD MOUNT HOLLY RD STE 300
GOOSE CREEK SC
29445-2832
US

V. Phone/Fax

Practice location:
  • Phone: 843-501-1099
  • Fax: 843-405-2040
Mailing address:
  • Phone: 843-501-1099
  • Fax: 843-405-2040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP5688
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10407
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: