Healthcare Provider Details

I. General information

NPI: 1821875428
Provider Name (Legal Business Name): RBC COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 LONG POINT RD STE D
MOUNT PLEASANT SC
29464-8328
US

IV. Provider business mailing address

272 HOBCAW DR
MOUNT PLEASANT SC
29464-2579
US

V. Phone/Fax

Practice location:
  • Phone: 843-412-6333
  • Fax:
Mailing address:
  • Phone: 843-412-6333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSS B. COLLINS
Title or Position: MENTAL HEALTH COUNSELOR
Credential: MA CMHC, LPCA
Phone: 843-412-6333