Provider Demographics
NPI:1386538015
Name:RINEHART, RUSSELL ALLEN (MA, LPCA, ASAT, MDIV)
Entity type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:ALLEN
Last Name:RINEHART
Suffix:
Gender:M
Credentials:MA, LPCA, ASAT, MDIV
Other - Prefix:MR
Other - First Name:RUSSELL
Other - Middle Name:
Other - Last Name:RINEHART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCA
Mailing Address - Street 1:205 NOVELTY DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3598 HIGHWAY 11 STE 202
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-3501
Practice Address - Country:US
Practice Address - Phone:864-365-6113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8525101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health