MEDICARE: CAROLINA SLEEP THERAPY 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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1710878830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA SLEEP THERAPY LLC

Provider Business Mailing Address
First Line	:	3505 PELHAM RD STE B
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4154
Country	:	US
Telephone Number	:	706-978-1834
Fax Number	:	706-978-1834

Provider Business Practice Location Address
First Line	:	3505 PELHAM RD STE B
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4154
Country	:	US
Telephone Number	:	706-978-1834
Fax Number	:	706-978-1834

Authorized Official
Title or Position	:	OWNER
Name	:	MOLLY YONG
Credential	:	OT
Telephone Number	:	706-978-1834

Provider Enumeration Date	:	07/15/2025
Last Update Date	:	01/22/2026

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