MEDICARE: PALMETTO COUNSELING COLLECTIVE, 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1659214492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO COUNSELING COLLECTIVE, LLC

Provider Business Mailing Address
First Line	:	32 CHINQUAPIN ST
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29906-7207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 RIBAUT RD STE 1708
Second Line	:
City	:	PORT ROYAL
State	:	SC
Zip	:	29935-1927
Country	:	US
Telephone Number	:	843-321-8444
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	COURTNEY HILL QUINN
Credential	:	LPC
Telephone Number	:	434-334-9665

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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