Provider Demographics
NPI:1316098767
Name:THOMAS, CAROL SCOTT (LPC)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:SCOTT
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 COLEMAN BLVD STE 1A
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4392
Mailing Address - Country:US
Mailing Address - Phone:843-216-6688
Mailing Address - Fax:843-881-7617
Practice Address - Street 1:409 COLEMAN BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4392
Practice Address - Country:US
Practice Address - Phone:843-216-6688
Practice Address - Fax:843-881-7617
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC2082101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional