Provider Demographics
NPI:1285089227
Name:STAR COUNSELING LLC
Entity type:Organization
Organization Name:STAR COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-654-5000
Mailing Address - Street 1:474 WANDO PARK BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7933
Mailing Address - Country:US
Mailing Address - Phone:843-654-5000
Mailing Address - Fax:
Practice Address - Street 1:474 WANDO PARK BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7933
Practice Address - Country:US
Practice Address - Phone:843-654-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty