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NPI Code Detail

MEDICARE: COLLECTIVE CONSCIOUS COUNSELING, LLC

MEDICARE: COLLECTIVE CONSCIOUS COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1033073986
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLECTIVE CONSCIOUS COUNSELING, LLC
Provider Business Mailing Address
First Line : 75 PORT CITY LNDG STE 2011
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-1872
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 PORT CITY LNDG STE 2011
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-1872
Country : US
Telephone Number : 843-284-6160
Fax Number :
Authorized Official
Title or Position : THERAPIST & FOUNDER
Name : ALLYRAE CONLEY
Credential : LISW-CP
Telephone Number : 843-284-6160
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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