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General NPI Number Information
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NPI Number | 1811678915
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Entity Type | Organization
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Legal Business Name | CEC THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 144 LEISURE LN STE 200
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City | COLUMBIA
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State | SC
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Zip | 29210-4156
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Country | US
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Telephone | 803-201-2356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3159
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City | COLUMBIA
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State | SC
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Zip | 29230-3159
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Country | US
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Telephone | 803-312-2416
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLOTTE CHRISP
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Credential | LISW-CP
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Telephone | 803-312-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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