Provider Demographics
NPI:1427661610
Name:REINVENT COUNSELING SERVICES
Entity type:Organization
Organization Name:REINVENT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABINE
Authorized Official - Middle Name:GWENDOLYN
Authorized Official - Last Name:SHULER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LAC, MAC
Authorized Official - Phone:843-580-8189
Mailing Address - Street 1:122 BRITTONDALE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-7957
Mailing Address - Country:US
Mailing Address - Phone:843-580-8189
Mailing Address - Fax:
Practice Address - Street 1:122 BRITTONDALE RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-7957
Practice Address - Country:US
Practice Address - Phone:843-580-8189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC2125Medicaid