Healthcare Provider Details

I. General information

NPI: 1629958947
Provider Name (Legal Business Name): QUERCUS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 PALM BLVD STE 2A
ISLE OF PALMS SC
29451-2165
US

IV. Provider business mailing address

30 29TH AVE
ISLE OF PALMS SC
29451-2417
US

V. Phone/Fax

Practice location:
  • Phone: 843-270-8024
  • Fax:
Mailing address:
  • Phone: 843-270-8024
  • 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: BROOKE DOOLEY
Title or Position: OWNER
Credential: LPC
Phone: 843-270-8024